Individual
CRYSTAL CHARLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1221 MERCANTILE LN, UPPER MARLBORO, MD 20774-5374
(301) 332-5607
Mailing address
5309 WAVERTON CT, UPPER MARLBORO, MD 20772-2991
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
17794
MD
Other
Enumeration date
10/10/2017
Last updated
10/10/2017
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