Frederick Villa Pharmacy LLC

NPI #1063105930 in Baltimore, Maryland

Provider Information

NPI Number: 1063105930
Entity Type: Organization
Organization Name: Frederick Villa Pharmacy LLC
Primary Specialty: Pharmacist
Enumeration Date: May 29, 2023
Last Updated: May 29, 2023

Practice Location

Address: 5411 OLD FREDERICK RD STE 12
City: Baltimore
State: Maryland
ZIP Code: 21229-2126
Phone: (443) 251-2718

Authorized Official

Name: UCHE ETUNNUH
Title: MEMBER
Phone: (443) 415-6313

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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