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FAITHE MARIA BRAZNELL
>> Pharmacist >> Pharmacy Service ProvidersRegistrant NPI Number: 1578856928
Individual Registrant: FAITHE MARIA BRAZNELL
Gender: F
Not Sole Proprietor
Gender: F
Not Sole Proprietor
Location and contact information for practice:
3319 PEDDICOAT COURT WOODSTOCK, MD 21163 US
Tel: 410-655-1540 Fax: --
Tel: 410-655-1540 Fax: --
Contact information for business:
3319 PEDDICOAT CT WOODSTOCK, MD 21163-1138 US
Tel: -- Fax: --
Tel: -- Fax: --
Registration Information:
NPI: 1578856928
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 183500000X | Pharmacy Service Providers Pharmacist | MD | 11406 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
