Individual
KAREN BLEAKLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH, PHARMD
Contact information
Practice address
15618 COLUMBIA PIKE, BURTONSVILLE, MD 20866-1630
(301) 421-4493
Mailing address
15618 COLUMBIA PIKE, BURTONSVILLE, MD 20866-1630
(301) 421-4493
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
14920
MD
Other
Enumeration date
10/27/2014
Last updated
10/27/2014
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