Jonathan Wan
Jonathan Wan is a Pharmacist in Baltimore, Maryland. Licensed in Maryland. Registered with an NPI since 2015.
- Licensed in
- MD
- In the registry since
- 2015
Practice location Address checks out
5525 Eastern Ave Ste 104Baltimore, MD 21224-2796
Phone: (105) 584-9904
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Pharmacist (primary) | Taxonomy 183500000X · Licence 26836 (MD) |
|---|
Record details
| NPI number | 1114317914 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | January 31, 2015 |
| Last updated in NPPES | August 3, 2023 |
| Certification date | August 3, 2023 |
| Mailing address | 5525 Eastern Ave Ste 104, Baltimore, MD 21224-2796 |
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