Individual
MARTHA WOLDEMICHAEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8410 LILY LANE, LAUREL, MD 20723
(301) 204-3446
Mailing address
8410 LILY LN, LAUREL, MD 20723-1069
(301) 204-3446
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
13670
MD
183500000X
Pharmacist
P3019
DC
Other
Enumeration date
07/10/2014
Last updated
07/10/2014
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