Individual ProviderEdwige KondomboPharmacistPharmacy Service ProvidersPractice Address13208 Redspire Dr, Silver Spring, MD 20906-6739(240) 608-9726PECOS EnrollmentBased on the most recent information from CMS, provider Edwige Kondombo does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 10:51 AM.Profile DetailsProvider ID1164294179Provider TypeIndividualFull NameKondombo, EdwigeTitleDr.CredentialPHARMACISTGenderFemaleSole ProprietorNoEnumeration Date10/23/2023Last Updated10/23/2023Contact InformationPractice LocationPractice Address13208 Redspire Dr, Silver Spring, MD 20906-6739Phone(240) 608-9726FaxUnlisted FaxMailing LocationMailing Address13208 Redspire Dr, Silver Spring, MD 20906-6739Phone(240) 608-9726FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode183500000XPrimaryDescriptionPharmacistPharmacy Service ProvidersLicense29489Maryland