Individual
SHANICE RENEE LEVY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4200 ALTAMONT PL, WHITE PLAINS, MD 20695-3052
(301) 645-2774
Mailing address
4200 ALTAMONT PL, WHITE PLAINS, MD 20695-3052
(412) 418-9734
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
23618
MD
Other
Enumeration date
11/30/2017
Last updated
07/13/2021
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