Watermont Pharmacy
NPI #1114969730 in Ellicott City, Maryland
Provider Information
- NPI Number
- 1114969730
- Entity Type
- Organization
- Organization Name
- Watermont Pharmacy
- Primary Specialty
- Pharmacy - Community/Retail Pharmacy
- Enumeration Date
- Jun 11, 2006
- Last Updated
- Apr 22, 2011
Practice Location
- Address
- 4900 WATERLOO RD # A
- City
- Ellicott City
- State
- Maryland
- ZIP Code
- 21043-6664
- Phone
- (410) 465-0552
Authorized Official
- Name
- JODI LARE, RPH
- Title
- OWNER PHARMACIST
- Phone
- (410) 465-0552
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacy |
| Pharmacy - Community/Retail Pharmacy — Community/Retail Pharmacy |
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