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Individual

MR. GREGG LEVITAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
R.PH.

Contact information

Practice address
9300 LAKESIDE BLVD, OWINGS MILLS, MD 21117-4953
(410) 363-8066
(410) 363-2647
Mailing address
9300 LAKESIDE BLVD, OWINGS MILLS, MD 21117-4953
(410) 363-8066
(410) 363-2647

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
051-033254
IL
183500000X
Pharmacist
Primary
18253
MD

Other

Enumeration date
06/20/2010
Last updated
07/13/2014
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