Individual provider · Type 1 NPI
Marybeth Missenda, RPH
Nutrition Support Pharmacist · Accokeek, MD
NPI number
1225304124
Active
Practice location
16833 Holly Way
Accokeek, MD 20607-9714
Mailing address
7045 Berry Rd Unit A5, Box 361
Accokeek, MD 20607-3440
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nutrition Support Pharmacist | 1835N1003X | PH100000044 (DC) |
| Nutrition Support Pharmacist Primary | 1835N1003X | RP036731L (PA) |
Nutrition Support Pharmacist: A licensed pharmacist who has demonstrated specialized knowledge and skill in maintenance and/or restoration of optimal nutritional status, designing and modifying treatment according to patient needs.
About NPI 1225304124
Marybeth Missenda, RPH's National Provider Identifier is 1225304124, issued on Mar 26, 2012. The primary taxonomy on file is Nutrition Support Pharmacist (1835N1003X), and the practice location is in Accokeek, MD. The record was last updated on Mar 26, 2012.