NPI 1003219031

Jodi Elaine Lare, BACHELOROFPHARMACY

Practitioner Pharmacist Ellicott City, MD

Practice location

Address: 4370 Montgomery Rd, Ellicott City, MD 21043-6006
Phone: (410) 203-1212
Mailing address: 2022 Wiltonwood Rd, Stevenson, MD 21153-0681

Registered specialties

Pharmacist Primary

Pharmacy Service Providers Taxonomy 183500000X Licence 13111 (MD)

Other Pharmacist providers in Maryland →

Registry record

NPI: 1003219031
Entity type: Individual
Sex (as registered): Female
NPI issued: 5 Oct 2014
Record last updated: 5 Oct 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.