Individual
LINDA MARIE MATHERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
3120 ERDMAN AVE, BALTIMORE, MD 21213-1720
(443) 703-3683
(410) 534-0143
Mailing address
2463 SOPHIA CHASE DR, MARRIOTTSVILLE, MD 21104-1496
(410) 241-0361
(410) 534-0143
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
10261
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1073754461
—
MD
Enumeration date
01/07/2021
Last updated
01/07/2021
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