Individual
JESSICA MARCELIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM D
Contact information
Practice address
9110 LIBERTY RD, RANDALLSTOWN, MD 21133-3522
(410) 496-8146
Mailing address
4907 BRIDLE RIDGE RD, UPPER MARLBORO, MD 20772-7008
(404) 432-2383
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
27011
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
27011
MARYLAND BOARD OF PHARMACY
MD
Enumeration date
10/13/2020
Last updated
10/13/2020
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