Individual
DR. ROBERTO LICIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM.D.,M.S.
Contact information
Practice address
1901 VALLEYBROOK DR, KINGSVILLE, MD 21087-1062
(410) 877-7430
Mailing address
1901 VALLEYBROOK DR, KINGSVILLE, MD 21087-1062
(410) 877-7430
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
10970
MD
Other
Enumeration date
03/01/2007
Last updated
07/08/2007
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