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Individual

MATTHEW SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
1400 SULPHUR SPRING RD, HALETHORPE, MD 21227-2701
(410) 737-9221
Mailing address
4405 RIDGE DR, BALTIMORE, MD 21229-5353
(410) 247-9354

Taxonomy

Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
T18255
MD

Other

Enumeration date
05/31/2021
Last updated
05/31/2021
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