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NPI Code Detail

MEDICARE: DR. DIANNA LEA WILLIAMS CAMPBELL PHARMD

MEDICARE: DR. DIANNA LEA WILLIAMS CAMPBELL PHARMD
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
1183500000XPharmacist24582MD

General Provider Information

NPI Number : 1205371382
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DIANNA LEA WILLIAMS CAMPBELL PHARMD
Provider Business Mailing Address
First Line : 10097 BALTIMORE NATIONAL PIKE
Second Line : WALGREENS #15553
City : ELLICOTT CITY
State : MD
Zip : 21042-3611
Country : US
Telephone Number : 443-973-3339
Fax Number :
Provider Business Practice Location Address
First Line : 10097 BALTIMORE NATIONAL PIKE
Second Line : WALGREENS #15553
City : ELLICOTT CITY
State : MD
Zip : 21042-3611
Country : US
Telephone Number : 443-973-3339
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/29/2016
Last Update Date : 12/29/2016

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Directions to “ DR. DIANNA LEA WILLIAMS CAMPBELL PHARMD” Practice Location

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