Provider First Line Business Practice Location Address:
6501 N. CHARLES ST
Provider Second Line Business Practice Location Address:
WEINBERG BLD - PHARMACY DEPARTMENT
Provider Business Practice Location Address City Name:
YOUSON
Provider Business Practice Location Address State Name:
MD
Provider Business Practice Location Address Postal Code:
21204
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
410-938-3431
Provider Business Practice Location Address Fax Number:
410-545-4254
Provider Enumeration Date:
08/18/2006