Individual
DR. SHANNA LYNNE OLDEWURTEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
1201 E CHURCHVILLE RD, BEL AIR, MD 21014-3411
(410) 399-9691
(410) 638-8923
Mailing address
1201 E CHURCHVILLE RD, BEL AIR, MD 21014-3411
(410) 399-9691
(410) 638-8923
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
18326
MD
Other
Enumeration date
09/07/2011
Last updated
09/07/2011
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