Individual
CHAD VIGNALE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
11011 MANKLIN CREEK RD, BERLIN, MD 21811-4010
(410) 641-5858
Mailing address
11011 MANKLIN CREEK RD, BERLIN, MD 21811-4010
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
21627
MD
Other
Enumeration date
06/13/2014
Last updated
06/13/2014
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