Individual
LEONOR MARILIN MUNOZ ALCIVAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
7041 MARTIN LUTHER KING JR HWY, KING SHOPPING CENTER, HYATTSVILLE, MD 20785-4016
(301) 386-6141
Mailing address
6208 QUEBEC ST, BERWYN HEIGHTS, MD 20740-2740
(802) 343-6551
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
23622
MD
Other
Enumeration date
10/15/2015
Last updated
10/15/2015
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