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Individual

MR. JAMES LEE PELLENBARG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PD

Contact information

Practice address
7051 HARFORD RD, BALTIMORE, MD 21234
(410) 444-4700
(410) 426-2203
Mailing address
4108 FARMSIDE RD, NOTTINGHAM, MD 21236-1661
(410) 256-0970

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
09167
MD

Other

Enumeration date
03/31/2011
Last updated
03/31/2011
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