Individual
DR. ROBERT EAGEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
12619 WISTERIA DR, GERMANTOWN, MD 20874-5259
(301) 540-1103
Mailing address
19117 STALEYBRIDGE RD, GERMANTOWN, MD 20876-1644
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
21681
MD
Other
Enumeration date
07/29/2014
Last updated
07/29/2014
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