Organization
CVS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANA MARIE D'URSO (PHARMD)
(937) 790-0098
Entity
Organization
Contact information
Practice address
15100 BALTIMORE AVE, LAUREL, MD 20707-4602
(301) 776-5404
Mailing address
1633 Q ST NW APT 504, WASHINGTON, DC 20009-6351
(937) 790-0098
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
23901
MD
Other
Enumeration date
10/19/2016
Last updated
10/19/2016
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