Individual
CAROLINE BOUTROS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
14702 BALTIMORE AVE, LAUREL, MD 20707-4882
(301) 490-5497
Mailing address
5720 FISHERS LN APT 313, ROCKVILLE, MD 20852-1890
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
25404
MD
Other
Enumeration date
11/30/2017
Last updated
11/30/2017
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