Individual
NICOLE MAIROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
700 CHASE SIX BLVD, BOONSBORO, MD 21713-2059
(301) 432-3953
(301) 432-3955
Mailing address
1401 HAVEN RD APT T8, HAGERSTOWN, MD 21742-3061
(908) 878-1658
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
T25728
MD
Other
Enumeration date
09/16/2025
Last updated
09/16/2025
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