Individual
LEE AHLSTROM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
11307 MANKLIN CREEK RD, BERLIN, MD 21811
(410) 208-3811
Mailing address
6 ALTON PT, BERLIN, MD 21811-1739
(410) 208-1249
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
07472
MD
Other
Enumeration date
08/11/2011
Last updated
08/11/2011
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