Individual
CHRIS GABRIEL MALLOUH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6500 EASTERN AVE, BALTIMORE, MD 21224-2900
(443) 452-1057
Mailing address
6500 EASTERN AVE, BALTIMORE, MD 21224-2900
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
043526
NY
183500000X
Pharmacist
Primary
13836
MD
Other
Enumeration date
09/13/2018
Last updated
09/13/2018
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