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Individual

STEPHANIE RUSSO GODWIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHARM D

Contact information

Practice address
2132 OLD SNOW HILL RD, POCOMOKE CITY, MD 21851-2734
(410) 726-2117
Mailing address
4424 STOCKTON RD, POCOMOKE CITY, MD 21851-2512
(410) 726-2117

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
22465
MD

Other

Enumeration date
10/27/2020
Last updated
10/27/2020
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