Individual
ANN MARIE TETKOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH, PD
Contact information
Practice address
2644 CHAPEL LAKE DR, GAMBRILLS, MD 21054-1637
(410) 451-4775
(410) 451-4473
Mailing address
2644 CHAPEL LAKE DR, GAMBRILLS, MD 21054-1637
(410) 451-4775
(410) 451-4473
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
12456
MD
Other
Enumeration date
11/03/2010
Last updated
11/03/2010
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