Individual
STEPHEN M WIENNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
BS.P.
Contact information
Practice address
900 CATHEDRAL ST, MT. VERNON PHARMACY, BALTIMORE, MD 21201-5311
(410) 539-8030
Mailing address
900 CATHEDRAL ST, MT. VERNON PHARMACY, BALTIMORE, MD 21201-5311
(410) 539-8030
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
12546
MD
Other
Enumeration date
09/10/2007
Last updated
09/10/2007
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