Individual
MRS. MARYJANE KRUSE BELLAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
7955 BAYSIDE RD, CHESAPEAKE BEACH, MD 20732-3112
(410) 257-2090
Mailing address
8907 HARNESS WAY, BOWIE, MD 20715-3345
(301) 655-4361
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
009270
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
009270
PHARMACIST
MD
Enumeration date
08/31/2014
Last updated
08/31/2014
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