Individual
DOMINIQUE EDWARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
4625 FALLS RD, BALTIMORE, MD 21209-5025
(410) 667-1670
Mailing address
10035 ARDENNE WAY, OWINGS MILLS, MD 21117-4072
(217) 891-5505
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
25830
MD
Other
Enumeration date
08/01/2018
Last updated
08/01/2018
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