Individual
MRS. STACEY PARISEAULT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8452 EARLY BUD WAY, LAUREL, MD 20723-1083
(301) 498-0524
Mailing address
8452 EARLY BUD WAY, LAUREL, MD 20723-1083
(301) 498-0524
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
09418
MD
Other
Enumeration date
06/12/2018
Last updated
06/12/2018
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