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Individual

DIANE ROSE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
3605 E WEST HWY, HYATTSVILLE, MD 20782-2006
(301) 277-0199
Mailing address
3605 E WEST HWY, HYATTSVILLE, MD 20782-2006
(302) 277-0199

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
18186
MD

Other

Enumeration date
08/10/2014
Last updated
08/10/2014
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