Individual
JESSICA MCCORKLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, PHT
Contact information
Practice address
3600 BOSTON ST, BALTIMORE, MD 21224-5729
(187) 781-3559
Mailing address
3600 BOSTON ST, BALTIMORE, MD 21224-5729
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
T09748
MD
Other
Enumeration date
01/07/2016
Last updated
01/07/2016
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