Individual
EDWARD KLUG SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4715 DORSEY HALL DR, ELLICOTT CITY, MD 21042-7733
(410) 992-3797
Mailing address
4715 DORSEY HALL DR, ELLICOTT CITY, MD 21042-7733
(410) 992-3797
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
14172
MD
Other
Enumeration date
11/20/2020
Last updated
11/20/2020
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