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Individual

MICKY HA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
R.PH.

Contact information

Practice address
2855 SMITH AVE, BALTIMORE, MD 21209-1426
(410) 484-3200
(410) 484-1882
Mailing address
2633 LITER DR, ELLICOTT CITY, MD 21042-1732
(443) 574-4263
(253) 276-9686

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
056550
NY
183500000X
Pharmacist
Primary
20291
MD

Other

Enumeration date
04/19/2012
Last updated
04/19/2012
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