Individual
MRS. DAWN TRACEY MEDINA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
12817 SHANK FARM WAY, HAGERSTOWN, MD 21742
(301) 665-9568
(301) 665-9798
Mailing address
6125 SAMUEL RD, NEW MARKET, MD 21774-6301
(301) 865-4736
(301) 865-4736
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
15141
MD
Other
Enumeration date
05/27/2008
Last updated
05/27/2008
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