Individual
MICHAEL EVANS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
8665 PHILADELPHIA RD, BALTIMORE, MD 21237-3020
(410) 574-4766
Mailing address
8665 PHILADELPHIA RD, BALTIMORE, MD 21237-3020
(410) 574-4766
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
25290
MD
Other
Enumeration date
11/15/2020
Last updated
11/15/2020
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