Organization
WALGREENS#2446
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERTO LICIER PHARM.D. (PHARMACIST)
(410) 918-0790
Entity
Organization
Contact information
Practice address
6 SOUTH MARLYN AVE, ESSEX, MD 21221
(410) 918-0790
(410) 918-0796
Mailing address
6 S MARLYN AVE, ESSEX, MD 21221-5021
(410) 918-0790
(410) 918-0796
Taxonomy
Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
Primary
10970
MD
Other
Enumeration date
11/02/2015
Last updated
11/02/2015
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