Individual
LICH DANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
52 CENTRAL AVE W, EDGEWATER, MD 21037-2622
(410) 919-1160
Mailing address
52 CENTRAL AVE W, EDGEWATER, MD 21037-2622
(410) 919-1160
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
22808
MD
Other
Enumeration date
09/12/2014
Last updated
01/18/2025
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