Individual
GREGORINA ALTAGRACIA CAMPUSANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
402 S JEFFERSON ST, FREDERICK, MD 21701-6208
(301) 663-4861
Mailing address
12818 CLOVERLEAF CENTER DR, GERMANTOWN, MD 20874-7217
(202) 714-4488
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
17085
MD
183500000X
Pharmacist
Primary
PH100000807
DC
Other
Enumeration date
10/20/2011
Last updated
03/03/2026
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