Individual
MR. RONALD LEROY LILLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
10 N GREENE ST, ATTN: PHARMACY SVC (119), BALTIMORE, MD 21201-1524
(410) 605-7000
(410) 605-7160
Mailing address
101 BRAGG BLVD, ODENTON, MD 21113-2629
(410) 674-2599
(410) 605-7160
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
12950
MD
Other
Enumeration date
09/17/2006
Last updated
07/08/2007
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