Individual
ADONIS MCCOY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CPHT
Contact information
Practice address
300 PULASKI HWY, JOPPA, MD 21085-3614
(410) 538-5124
Mailing address
300 PULASKI HWY, JOPPA, MD 21085-3614
(410) 538-5124
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
T19847
MD
Other
Enumeration date
10/28/2020
Last updated
10/31/2020
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