Individual
MISS NICOLE N PRUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
13424 PENNSYLVANIA AVE STE 102, HAGERSTOWN, MD 21742-2685
(240) 313-3110
Mailing address
21 PLEASANT ACRES DR, THURMONT, MD 21788-1715
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
16527
MD
Other
Enumeration date
01/26/2007
Last updated
07/08/2007
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