Consollar Leeds Azenui Valid NPI
Individual provider · Pharmacist · La Plata, MD
- NPI
- 1124631346
- Type
- Individual (Type 1)
- Primary specialty
- Pharmacist
- Specialty group
- Pharmacy Service Providers
- Taxonomy code
- 183500000X
- License number
- 24001 (MD)
- Sex
- Female
- Sole proprietor
- No
- Enumerated
- 2020-08-27
- Last updated
- 2020-08-27
Practice location
60 Shining Willow Way
La Plata, MD 20646-4224
(301) 934-5910