Individual ProviderAssemien Alexis KodjoPharmacistPharmacy Service ProvidersPractice Address13729 Connecticut Ave, Silver Spring, MD 20906-2916(301) 871-7511PECOS EnrollmentBased on the most recent information from CMS, provider Assemien Alexis Kodjo 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 2 days ago.Profile DetailsProvider ID1609119023Provider TypeIndividualFull NameKodjo, Assemien AlexisTitleMr.CredentialRPHGenderMaleSole ProprietorYesEnumeration Date4/3/2013Last Updated4/3/2013Contact InformationPractice LocationPractice Address13729 Connecticut Ave, Silver Spring, MD 20906-2916Phone(301) 871-7511Fax(301) 871-4213Mailing LocationMailing Address13729 Connecticut Ave, Silver Spring, MD 20906-2916Phone(301) 871-7511Fax(301) 871-4213Provider TaxonomiesCodeDescriptionLicenseCode183500000XPrimaryDescriptionPharmacistPharmacy Service ProvidersLicense14043Maryland