Organization
TARGET
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JESSY EDOUARD (PHARMACIST)
(267) 664-4267
Entity
Organization
Contact information
Practice address
1040 DEER RIDGE DR, BALTIMORE, MD 21210-2558
(267) 664-4267
Mailing address
1040 DEER RIDGE DR, BALTIMORE, MD 21210-2558
(267) 664-4267
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
22738
MD
Other
Enumeration date
09/10/2014
Last updated
09/10/2014
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