DR. Otis Cleveland JR., PHARMD

NPI #1588097323 in Waldorf, Maryland

Provider Information

NPI Number: 1588097323
Entity Type: Individual
Name: DR. Otis Cleveland JR., PHARMD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pharmacist
Credential: PHARMD
Enumeration Date: Aug 15, 2013
Last Updated: Jan 30, 2014

Practice Location

Address: 10 KING STREET
City: Waldorf
State: Maryland
ZIP Code: 20602
Phone: (301) 645-5161

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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