MRS. Jodi Elaine Lare, BACHELOR OF PHARMACY

NPI #1003219031 in Ellicott City, Maryland

Provider Information

NPI Number: 1003219031
Entity Type: Individual
Name: MRS. Jodi Elaine Lare, BACHELOR OF PHARMACY
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pharmacist
Credential: BACHELOR OF PHARMACY
Enumeration Date: Oct 5, 2014
Last Updated: Oct 5, 2014

Practice Location

Address: 4370 MONTGOMERY RD
City: Ellicott City
State: Maryland
ZIP Code: 21043-6006
Phone: (410) 203-1212

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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