Individual
DEBORAH BOURNOUSOUZIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
11399 YORK RD, COCKEYSVILLE, MD 21030-1909
(410) 785-1065
Mailing address
6 DEER RIDGE CT, PHOENIX, MD 21131-1856
(410) 365-7399
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
14598
MD
Other
Enumeration date
11/23/2020
Last updated
11/23/2020
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