Tierra Phillips
Pharmacy Technician in Baltimore, MD. Individual provider (NPI-1).
NPI number1366033151
StatusActive
Last updated in NPPESFeb 3, 2021
Details
- NPI
- 1366033151
- Entity type
- Individual (NPI-1)
- Name
- Tierra Phillips
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Feb 3, 2021
- Certification date
- Feb 3, 2021
- Last updated
- Feb 3, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 183700000X | Pharmacy Technician | T191113 | MD | Yes |
Practice location
743 E 37th StBaltimore, MD 21218-2534
Phone 410-622-5813
Mailing address
743 E 37th StBaltimore, MD 21218-2534
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