Individual
JOAN NERISSA BUCHANAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11729 BELTSVILLE DR, BELTSVILLE, MD 20705-3147
(301) 691-8528
Mailing address
PO BOX 3815, TUBA CITY, AZ 86045-3815
(973) 493-7997
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
28104
MD
Other
Enumeration date
09/13/2023
Last updated
09/13/2023
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