Provider Demographics
NPI:1437310372
Name:HEALY, MONICA (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:MONICA
Middle Name:
Last Name:HEALY
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6350 FREDERICK RD
Mailing Address - Street 2:CATONSVILLE PHARMACY
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21228-2375
Mailing Address - Country:US
Mailing Address - Phone:410-744-5959
Mailing Address - Fax:410-744-4810
Practice Address - Street 1:6350 FREDERICK RD
Practice Address - Street 2:CATONSVILLE PHARMACY
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21228-2375
Practice Address - Country:US
Practice Address - Phone:410-744-5959
Practice Address - Fax:410-744-4810
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-23
Last Update Date:2013-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD18748183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist