Individual
TRACI GRUCZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
1800 ORLEANS ST, BALTIMORE, MD 21287-0010
(614) 410-4443
Mailing address
3226 ELLIOTT ST, BALTIMORE, MD 21224-5016
(313) 770-7097
Taxonomy
Speciality
Code
Description
License number
State
1835C0205X
Critical Care Pharmacist
Primary
25824
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
25824
STATE PHARMACIST LICENSE
MD
Enumeration date
12/20/2022
Last updated
12/20/2022
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