Most Relevant Information
Provider Data
| NPI Number: | 1003573023 |
| Provider Name: | STEVE MAVRONIS PHARMACIST |
| Entity Type: | Individual |
| Taxonomy Code: | 183500000X |
| Specialty: | Pharmacist |
| License Number: | 11461 |
Most Important Dates
| Enumeration Date: | 11/24/2021 |
| Last Updated: | 11/24/2021 |
Provider Practice Location
1535 PARK AVE
BALTIMORE
MD
212174280
Practice Location Phone/Fax
| Phone: | 4102250800 |
| Fax: |
Provider Mailing Location
9105 MOONSTONE RD
BALTIMORE
MD
212361925
Provider Mailing Phone/Fax
| Phone: | 4103037187 |
| Fax: |