Individual
CHARLES J CAVANAUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4611 ASSEMBLY DR, SUITE H, LANHAM, MD 20706-4371
(240) 624-2200
Mailing address
8120 ELSIES WAY, LAUREL, MD 20723-1028
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
09329
MD
Other
Enumeration date
03/26/2012
Last updated
03/26/2012
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