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Individual

LISA LYNN KIRK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
REGISTERED PHARMACIS

Contact information

Practice address
24 RISING SUN TOWN CTR, RISING SUN, MD 21911-1902
(410) 658-8253
Mailing address
2523 SILVER RD, DARLINGTON, MD 21034-1501
(443) 504-4840

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
17095
MD

Other

Enumeration date
11/18/2020
Last updated
11/18/2020
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