Individual
JIA K ALLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2509-2523 PENNSYLVANIA AVE, BALTIMORE, MD 21217
(410) 225-2091
Mailing address
1 CVS DR, WOONSOCKET, RI 02895-6146
(800) 746-7287
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
25996
MD
Other
Enumeration date
11/01/2018
Last updated
11/01/2018
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