Individual
ELLEN EILEEN BLOOM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6636 RITCHIE HWY, GLEN BURNIE, MD 21061-2317
(410) 487-0111
(410) 582-9015
Mailing address
6636 RITCHIE HWY, GLEN BURNIE, MD 21061-2317
(410) 487-0111
(410) 582-9015
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
13496
MD
Other
Enumeration date
11/05/2020
Last updated
06/06/2023
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