Individual
VIRGINIA ROSE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPHT
Contact information
Practice address
403 CONSTANT FRIENDSHIP BLVD, ABINGDON, MD 21009-2566
(410) 670-9001
(443) 409-3125
Mailing address
403 CONSTANT FRIENDSHIP BLVD, ABINGDON, MD 21009-2566
(410) 670-9001
(443) 409-3125
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
T05786
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
520107010101751
PTCB
MD
01
—
T05786
MARYLAND LICENSE
MD
Enumeration date
02/04/2015
Last updated
02/04/2015
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