Individual
CHARLENE TAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1930 PULASKI HWY, EDGEWOOD, MD 21040-1612
(410) 671-6568
(410) 676-2648
Mailing address
1930 PULASKI HWY, EDGEWOOD, MD 21040-1612
(410) 671-6568
(410) 676-2648
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
18349
MD
Other
Enumeration date
10/19/2011
Last updated
10/19/2011
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