Individual
MRS. HAIDY M BANOUB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMACIST
Contact information
Practice address
6970 CRESTWOOD BLVD, FREDERICK, MD 21703-7239
(301) 682-9158
Mailing address
6970 CRESTWOOD BLVD, FREDERICK, MD 21703-7239
(301) 682-9158
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
18933
MD
Other
Enumeration date
09/21/2010
Last updated
09/21/2010
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