Individual
DR. CHARLES MICHAEL LIVINGSTON JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
AAHIVP, HIV PCP
Contact information
Practice address
11 E LEXINGTON ST STE 100, BALTIMORE, MD 21202-1732
(410) 246-4877
(833) 867-3017
Mailing address
11 E LEXINGTON ST STE 100, BALTIMORE, MD 21202-1732
(410) 246-4877
(833) 867-3017
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
0202215642
VA
183500000X
Pharmacist
Primary
21875
MD
183500000X
Pharmacist
PH100002730
DC
183500000X
Pharmacist
RPH027397
GA
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
21875
MD
Other
Enumeration date
05/20/2015
Last updated
09/24/2021
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