Individual
JACQUELINE C TOUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
6242 BELLONA AVE, BALTIMORE, MD 21212-2445
(410) 435-0210
(410) 323-5025
Mailing address
6242 BELLONA AVE STE 1, BALTIMORE, MD 21212-2498
(410) 435-0210
(410) 323-5025
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
10030
MD
Other
Enumeration date
12/23/2020
Last updated
12/23/2020
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