Individual
LIVINGSTONE D MWANGOMBE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2203 DEFENSE HWY, CROFTON, MD 21114-2403
(410) 721-6239
Mailing address
2203 DEFENSE HWY, CROFTON, MD 21114-2403
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
17855
MD
Other
Enumeration date
05/27/2008
Last updated
05/27/2008
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