Individual
LISA OWEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1003 W PATRICK ST, FREDERICK, MD 21702-3939
(301) 662-7444
(301) 631-0176
Mailing address
1003 W PATRICK ST, FREDERICK, MD 21702-3939
(301) 662-7444
(301) 631-0176
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
13175
MD
Other
Enumeration date
02/22/2010
Last updated
02/22/2010
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