Roach, Mary Antoinettee

Roach, Mary Antoinettee is an individual health care provider with primary practice located at 12001 Autumnwood Ln , Fort Washington MD 20744-6065. She recently has 2 registered licenses in different health care specialties including Pharmacy Service Providers / Pharmacist, Pharmacy Service Providers / Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist. Pharmacy Service Providers / Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist is her primary health care specialty. Roach, Mary Antoinettee can be contacted via phone (301) 254-7656.

Contact Information

Primary practice address
12001 Autumnwood Ln Fort Washington MD 20744-6065
Phone: (301) 254-7656
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X PHA3183 District of Columbia
Pharmacy Service Providers / Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X PHA3183 District of Columbia

Profile Details

NPI number 1417465311
LBN Legal business name Roach, Mary Antoinettee
Credentials PHARMD
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 14th, 2018
Last updated Jan 14th, 2018 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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