Individual
DR. CHARLENE LAVERNE WARRENDAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM.D.
Contact information
Practice address
1423 SULTAN DR, SUITE 100, FORT DETRICK, MD 21702-9201
(301) 619-4362
(301) 619-4480
Mailing address
17613 AUBURN VILLAGE DR, SANDY SPRING, MD 20860-1045
(301) 570-4378
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
13614
NC
Other
Enumeration date
03/02/2007
Last updated
07/08/2007
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