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Individual

DR. STEPHANIE LYNN PRO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHARMD

Contact information

Practice address
2556 PULASKI HWY, NORTH EAST, MD 21901-2610
(410) 287-8887
Mailing address
21 SYCAMORE LN, BEAR, DE 19701-6382
(302) 918-7066

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
18709
MD
183500000X
Pharmacist
A1-0003791
DE

Other

Enumeration date
09/29/2011
Last updated
09/29/2011
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