Individual
RODERICK GRADIE PETERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
R.PH
Contact information
Practice address
900 S CATON AVE, BALTIMORE, MD 21229-5201
(667) 234-2550
(667) 234-7917
Mailing address
900 S CATON AVE, BALTIMORE, MD 21229-5201
(667) 234-2550
(667) 234-7917
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
13790
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2132912
NCPDP
MD
Enumeration date
06/06/2009
Last updated
01/10/2020
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