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>> Pharmacist >> Pharmacy Service Providers

Registrant NPI Number: 1831406503

Individual Registrant:
Gender: F
Sole Proprietor

Location and contact information for practice:
3463 SWEET AIR RD  PHOENIX, MD 21131-1825 US
Tel: 410-666-8220  Fax: 410-666-9872

Contact information for business:
Tel: 908-463-7050  Fax: --

Registration Information:
NPI: 1831406503
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y183500000XPharmacy Service Providers
N183500000XPharmacy Service Providers

Legacy codes, insurance codes and state license numbers:



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