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NPI Code Detail

MEDICARE: DR. LATOSHA CARPENTER PHARMD

MEDICARE:  DR. LATOSHA  CARPENTER  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
1183500000XPharmacist26401MD

General Provider Information

NPI Number : 1588203764
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. LATOSHA CARPENTER PHARMD
Provider Business Mailing Address
First Line : 4907 MARY BETH BLVD
Second Line :
City : CLINTON
State : MD
Zip : 20735-9629
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2970 SHASHO PL
Second Line :
City : WALDORF
State : MD
Zip : 20603-4840
Country : US
Telephone Number : 301-645-3095
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/05/2020
Last Update Date : 01/05/2020

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Directions to “ DR. LATOSHA CARPENTER PHARMD” Practice Location

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