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NPI Code Detail

MEDICARE: MARY BETH FRIEDEL PHARMD

MEDICARE: MARY BETH FRIEDEL 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
1183500000XPharmacist11105MD
21835P0018XPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist11105MD

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
111105OTHERMDMARYLAND BOARD OF PHARMACY

General Provider Information

NPI Number : 1376546010
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARY BETH FRIEDEL PHARMD
Provider Business Mailing Address
First Line : 695 KINKAID RD
Second Line :
City : ANNAPOLIS
State : MD
Zip : 21402-1006
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 695 KINKAID RD
Second Line :
City : ANNAPOLIS
State : MD
Zip : 21402-1006
Country : US
Telephone Number : 410-293-2273
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/26/2005
Last Update Date : 02/09/2024

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Directions to “ MARY BETH FRIEDEL PHARMD” Practice Location

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