Individual
DR. AMANDA DACEY MEMOLI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
3779 BOSTON ST, BALTIMORE, MD 21224-5752
(410) 522-0804
(410) 522-5613
Mailing address
16 CRESTMONT DR, ABERDEEN, MD 21001-2401
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
20176
MD
Other
Enumeration date
08/14/2017
Last updated
08/14/2017
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