Individual
DR. KOSSIVI EBLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
1519 ROCK SPRING RD, FOREST HILL, MD 21050-2833
(410) 638-8757
Mailing address
1519 ROCK SPRING RD, FOREST HILL, MD 21050-2833
(410) 638-8757
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26423
MD
Other
Enumeration date
09/23/2021
Last updated
09/23/2021
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