Individual
JAMES TUDOR IV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMACY TECH
Contact information
Practice address
6402 GOLDEN RING RD, ROSEDALE, MD 21237-2010
(410) 866-2500
(410) 866-6486
Mailing address
501 POTOMAC AVE, ROSEDALE, MD 21237-3112
(443) 635-7167
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
T23546
MD
Other
Enumeration date
06/12/2021
Last updated
06/12/2021
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