Individual
AUSTIN IKEIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
8650 BELAIR RD, NOTTINGHAM, MD 21236-2705
(410) 344-3902
Mailing address
8650 BELAIR RD, NOTTINGHAM, MD 21236-2705
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
09/02/2021
Last updated
09/02/2021
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