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Individual

CRYSTAL M SPAID

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
R.PH.

Contact information

Practice address
20 N 3RD ST, OAKLAND, MD 21550-1322
(301) 334-2197
Mailing address
20 N 3RD ST, OAKLAND, MD 21550-1322
(301) 334-2197

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
18912
MD
183500000X
Pharmacist
RP0006844
WV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1356398903
BUSINESS NPI NUMBER
MD
05
407077100
MD
Enumeration date
09/29/2008
Last updated
09/29/2008
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