MEDICARE: JULIE DAWN PREIS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	15247	MD

General Provider Information

NPI Number	:	1134335441
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JULIE DAWN PREIS

Provider Business Mailing Address
First Line	:	7500 SECURITY BLVD
Second Line	:
City	:	WINDSOR MILL
State	:	MD
Zip	:	21244-1849
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	7500 SECURITY BLVD MS C1-13-07
Second Line	:	CENTERS FOR MEDICARE & MEDICAID SERVICES
City	:	BALTIMORE
State	:	MD
Zip	:	21244
Country	:	US
Telephone Number	:	410-786-0525
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/15/2007
Last Update Date	:	07/08/2019

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Directions to “ JULIE DAWN PREIS ” Practice Location

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