Individual
JOSEPH BLAKE BOURNE III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1801 YORK RD, LUTHERVILLE, MD 21093-5119
(443) 470-4050
(443) 470-4056
Mailing address
1801 YORK RD, LUTHERVILLE, MD 21093-5119
(443) 470-4050
(443) 470-4056
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
29390
MD
Other
Enumeration date
08/29/2023
Last updated
08/29/2023
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