Lee Ahlstrom, RPH

NPI #1902185697 in Berlin, Maryland

Provider Information

NPI Number: 1902185697
Entity Type: Individual
Name: Lee Ahlstrom, RPH
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Pharmacist
Credential: RPH
Enumeration Date: Aug 11, 2011
Last Updated: Aug 11, 2011

Practice Location

Address: 11307 MANKLIN CREEK RD
City: Berlin
State: Maryland
ZIP Code: 21811
Phone: (410) 208-3811

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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