Individual
GRACE CHRISTINA LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5405 LYNX LN, COLUMBIA, MD 21044-2374
(410) 740-7273
Mailing address
6132 RIPPLING WATERS WALK, CLARKSVILLE, MD 21029-2902
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
25054
MD
Other
Enumeration date
08/07/2017
Last updated
08/07/2017
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