DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. MARY ANTOINETTEE ROACH, PHARMD

Active

DR. MARY ANTOINETTEE ROACH, PHARMD is a Pharmacist Clinician (PhC) healthcare provider located in FORT WASHINGTON, Maryland. NPI 1417465311 is currently active in the NPPES registry. Verify at CMS.

Pharmacist Clinician (PhC) · FORT WASHINGTON, MD

Registration Details

NPI Number
1417465311
Provider Type
Individual
Gender
Female
NPI Issued
Jan 14, 2018 (8.394303508336 yrs)
Last Updated
Jan 14, 2018
Licenses
PHA3183 (DC)
PHA3183 (DC)

Practice Information

Address
12001 AUTUMNWOOD LN
FORT WASHINGTON, MD, 207446065
Browse MD providers · Browse ZIP 20744
Phone
3012547656
Primary Specialty
Pharmacist Clinician (PhC)
1835P0018X
Additional Specialty
Pharmacist Clinician (PhC)

Other Pharmacist Clinician (PhC) Providers in FORT WASHINGTON, MD

Name Credential NPI
DR. ROBERT S TAYLOR PHARM.D 1679706816
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.