Individual
DR. BRIAN KEITH ELLSWORTH JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
1000 S CHARLES ST, BALTIMORE, MD 21230-4046
(410) 752-9087
Mailing address
681 WASHINGTON BLVD, BALTIMORE, MD 21230-2215
(410) 459-1016
(401) 216-3435
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
19750
MD
Other
Enumeration date
07/31/2014
Last updated
07/31/2014
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