Organization
YOUR ASTHMA CARE PHARMACY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARILOU MARIE FRITZ R.N. (PRESIDENT / CEO)
(240) 575-9097
Entity
Organization
Contact information
Practice address
5112 PEGASUS CT, SUITE X-B, FREDERICK, MD 21704-8303
(240) 575-9097
(240) 629-8769
Mailing address
5112 PEGASUS CT, SUITE X-B, FREDERICK, MD 21704-8303
(240) 575-9097
(240) 629-8769
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
PW0404
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PW0404
MD BOARD OF PHARMACY
MD
Enumeration date
08/09/2013
Last updated
10/26/2013
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