Individual
MIEN MEISIE ROBERTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMACIST
Contact information
Practice address
10 MONOCACY BLVD, FREDERICK, MD 21704-7256
(301) 644-1482
(301) 644-1501
Mailing address
3737 UNIVERSITY BLVD W, KENSINGTON, MD 20895-2123
(301) 933-6165
(301) 933-6185
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
20513
MD
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
20513
MD
Other
Enumeration date
05/11/2012
Last updated
07/22/2019
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