Individual
MARK ALAN WYCHE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
8107 GOV RITCHIE HWY, PASADENA, MD 21122-6917
(410) 689-1508
Mailing address
8107 GOV RITCHIE HWY, PASADENA, MD 21122-6917
(410) 689-1508
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
097785
MD
Other
Enumeration date
10/26/2020
Last updated
10/26/2020
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