Individual
BARRY BLOOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
R.PH
Contact information
Practice address
2411 W BELVEDERE AVE, BALTIMORE, MD 21215-5228
(410) 542-0125
Mailing address
2411 W BELVEDERE AVE, BALTIMORE, MD 21215-5228
(410) 542-0125
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
06960
MD
Other
Enumeration date
02/26/2015
Last updated
02/26/2015
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