Individual
LAUREN WATERFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1340 EASTERN BLVD, BALTIMORE, MD 21221-3423
(410) 780-7020
Mailing address
305 RUSSO WAY APT L, BEL AIR, MD 21015-6459
(267) 275-9032
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
25337
MD
Other
Enumeration date
10/08/2014
Last updated
03/17/2018
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