Organization
ANTIETAM HEALTH SERVICES
Active
Other names
Home Care Pharmacy-Williamsport
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LAURENCE ALLEN HICKMAN JR. RPH (PHARMACIST MANAGER)
(301) 223-4100
Entity
Organization
Contact information
Practice address
307 E POTOMAC STREET, WILLIAMSPORT, MD 21795-1203
(301) 223-4100
(301) 223-6133
Mailing address
307 E POTOMAC ST, WILLIAMSPORT, MD 21795-1203
(301) 223-4100
(301) 223-6133
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
P02295
MD
Other
Enumeration date
10/12/2006
Last updated
08/22/2020
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