Individual
LORI ANN M GLEASON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
45101 FIRST COLONY WAY, CALIFORNIA, MD 20619-2416
(240) 725-5196
(240) 725-5196
Mailing address
24224 HALF PONE POINT RD, HOLLYWOOD, MD 20636-2957
(240) 725-5196
(240) 725-5190
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
12974
MD
Other
Enumeration date
10/26/2006
Last updated
07/08/2007
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