Individual
ANDREI MINO OLIVARES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6970 CRESTWOOD BLVD, FREDERICK, MD 21703-7239
(301) 682-9158
Mailing address
707 TATUM CT, FREDERICK, MD 21702-4936
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
29308
MD
183500000X
Pharmacist
RP0013826
WV
Other
Enumeration date
07/26/2023
Last updated
08/02/2023
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