Individual
MARK H LAPOURAILLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
3714 NORRISVILLE RD, JARRETTSVILLE, MD 21084-1419
(410) 557-7717
(410) 557-4336
Mailing address
PO BOX 57, JARRETTSVILLE, MD 21084-0057
(410) 557-7717
(410) 557-4336
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
10284
MD
Other
Enumeration date
11/11/2010
Last updated
11/11/2010
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