Individual
DR. JUSTIN ORTIQUE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARM.D
Contact information
Practice address
5621 SARGENT RD, HYATTSVILLE, MD 20782-2335
(301) 559-3333
Mailing address
5621 SARGENT RD, HYATTSVILLE, MD 20782-2335
(301) 559-3333
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
22446
MD
Other
Enumeration date
08/13/2014
Last updated
08/13/2014
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