IndividualActive
Gavin Lange, PHARMACY TECHNICIAN
NPI 1710693163 · Technician/Technologist · Parkville, MD
Provider details
- NPI number
- 1710693163
- Entity type
- Individual
- Primary specialty
- Technician/TechnologistEye and Vision Services Providers
- Credential
- PHARMACY TECHNICIAN
- Sex
- Male
- Sole proprietor
- No
- License
- T27627 (MD)
Specialties & taxonomies
Eye and Vision Services Providers
Practice location
6701 Harford Rd
Parkville, MD 21234-7721
Phone: (410) 254-2055
Approximate (ZIP-level) locationGet directions
Mailing address
6701 Harford Rd
Parkville, MD 21234-7787
Registry dates
- Enumerated
- 2023-01-30
- Last updated
- 2023-02-01
- Certified
- 2023-02-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.