Individual
DR. OTIS CLEVELAND JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
10 KING STREET, WALDORF, MD 20602
(301) 645-5161
(301) 374-9783
Mailing address
10 KING STREET, WALDORF, MD 20602
(301) 645-5161
(301) 374-9873
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
17636
MD
Other
Enumeration date
08/15/2013
Last updated
01/30/2014
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