Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. RALPH LYNWOOD SHUMAKE JR., P.D.
Active Sole ProprietorDR. RALPH LYNWOOD SHUMAKE JR., P.D. is a Nutrition Support Pharmacist healthcare provider located in COLUMBIA, Maryland. NPI 1619235181 is currently active in the NPPES registry. Verify at CMS.
Nutrition Support Pharmacist · COLUMBIA, MD
Registration Details
- NPI Number
- 1619235181
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 2, 2012 (14.267584898368 yrs)
- Last Updated
- May 2, 2012
- Licenses
-
09764 (MD)0202004627 (VA)09764 (MD)09764 (MD)09764 (MD)
- Sole Proprietor
- Yes
Practice Information
- Address
-
9145 GUILFORD RDSUITE #160COLUMBIA, MD, 210461883Browse MD providers · Browse ZIP 21046
- Phone
- 3014902353
- Fax
- 3014902376
- Primary Specialty
-
Nutrition Support Pharmacist
1835N1003X
- Additional Specialty
- Pharmacist
- Additional Specialty
- Nutrition Support Pharmacist
- Additional Specialty
- Pharmacist Clinician (PhC)
- Additional Specialty
- Pharmacotherapy Specialist
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.