Individual ProviderMandop Marilyn FonkengPharmacistPharmacy Service ProvidersPractice Address1290 E West Hwy, Silver Spring, MD 20910-3242(301) 588-6261(678) 346-1149PECOS EnrollmentBased on the most recent information from CMS, provider Mandop Marilyn Fonkeng 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 ID1902303571Provider TypeIndividualFull NameFonkeng, Mandop MarilynGenderFemaleSole ProprietorYesEnumeration Date4/10/2018Last Updated4/10/2018Contact InformationPractice LocationPractice Address1290 E West Hwy, Silver Spring, MD 20910-3242Phone(301) 588-6261FaxUnlisted FaxMailing LocationMailing Address1103 Burketon Rd, Hyattsville, MD 20783-3002Phone(678) 346-1149FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode183500000XPrimaryDescriptionPharmacistPharmacy Service ProvidersLicense25483Maryland