Individual
ERICA DEBRA BOODOO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CHPT
Contact information
Practice address
2250 HICKORY ROAD, SUITE 240, PLYMOUTH MEETING, PA 19462
(800) 879-4471
(610) 834-7525
Mailing address
1441 BONSAL STREET, BALTIMORE, MD 21224
(443) 846-2111
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
380100106111057
MD
Other
Enumeration date
04/30/2007
Last updated
07/08/2007
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