Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Jean Marie Fanba

Individual provider Pharmacist · NPI 1174937452

Dr. Jean Marie Fanba is a Pharmacist in Prince Frederick, Maryland. Licensed in Maryland. Registered with an NPI since 2014.

Licensed in
MD
In the registry since
2014

Practice location Address checks out

355 Market Square Dr
Prince Frederick, MD 20678-3173
Phone: (410) 535-5313
Fax: (410) 535-5762
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence 19327 (MD)

Record details

NPI number1174937452
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJune 16, 2014
Last updated in NPPESJune 16, 2014

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