Individual
MARTIN BRUCE BAXTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
316 TALBOTT AVE, SUITE A, LAUREL, MD 20707-4334
(301) 617-0555
Mailing address
316 TALBOTT AVE, SUITE A, LAUREL, MD 20707-4334
(301) 617-0555
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0202007452
VA
183500000X
Pharmacist
14610
NC
183500000X
Pharmacist
18090
MD
183500000X
Pharmacist
PH100000411
DC
Other
Enumeration date
03/06/2009
Last updated
03/06/2009
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