Individual
ELIZABETH FANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARM.D.
Contact information
Practice address
1123 N EUTAW ST, APT 506, BALTIMORE, MD 21201-2251
(603) 540-1474
Mailing address
1123 N EUTAW ST, APT 506, BALTIMORE, MD 21201-2251
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
18844
MD
Other
Enumeration date
05/06/2009
Last updated
05/06/2009
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