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Mr. Gavin Charles Lange, PHARMACYTECHNICIAN
Technician/Technologist in Parkville, Maryland
NPI 1710693163

Gavin Charles Lange is a Technician/Technologist based in Parkville, MD. Gavin Charles Lange practices in Parkville, MD and has the professional credentials of PHARMACYTECHNICIAN. The NPI Number for Gavin Charles Lange is 1710693163 and holds a License No. T27627 (Maryland).

The current practice location address for Gavin Charles Lange is 6701 Harford Rd, Parkville, MD and can be reached out via phone at 410-254-2055.

Location: 6701 Harford Rd, Parkville, MD, 21234-7787
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1710693163
Provider Name
Gavin Charles Lange
Credential
PHARMACYTECHNICIAN
Provider Entity Type
Individual
Gender
Male
Address
6701 Harford Rd, Parkville, MD, 21234-7787
Phone Number
410-254-2055
Fax Number
Provider Enumeration Date
01/30/2023
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
MD10272062356 01 MD LICENSE
institution
Provider Business Practice Location Address Details
Address
6701 Harford Rd
City
Parkville
State
Maryland
Zip
21234-7721
Phone Number
410-254-2055
Fax Number
person
Provider Business Mailing Address Details
Address
6701 Harford Rd
City
Parkville
State
Maryland
Zip
21234-7721
Phone Number
410-254-2055
Fax Number
person
Provider's Taxonomy Details 1
Type
Eye and Vision Services Providers
Classification
Technician/Technologist
Speciality
-
Taxonomy
156F00000X
License No.
T27627 (Maryland)
Definition
A broad category grouping different kinds of technologists and technicians. See individual definitions.
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