Individual
MS. CLORETTA J COLLINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BS PHARM
Contact information
Practice address
2310 W PATAPSCO AVE, BALTIMORE, MD 21230-2816
(410) 646-2059
Mailing address
2310 W PATAPSCO AVE, BALTIMORE, MD 21230-2816
(410) 646-2059
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
09730
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
09730
PHARMACY LIC
MD
Enumeration date
10/07/2011
Last updated
10/07/2011
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