Individual
CHARLES IMWOLD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
9504 AMBERLEIGH LN UNIT Q, PERRY HALL, MD 21128-9758
(410) 302-7979
Mailing address
9504 AMBERLEIGH LN UNIT Q, PERRY HALL, MD 21128-9758
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
08588
MD
Other
Enumeration date
11/22/2018
Last updated
11/22/2018
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