Provider Demographics
NPI:1518554534
Name:KROMSKY, MITCHELL H (PHARM D)
Entity Type:Individual
Prefix:
First Name:MITCHELL
Middle Name:H
Last Name:KROMSKY
Suffix:
Gender:M
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:32 WEST RD STE 100
Mailing Address - Street 2:
Mailing Address - City:TOWSON
Mailing Address - State:MD
Mailing Address - Zip Code:21204-2321
Mailing Address - Country:US
Mailing Address - Phone:410-340-9002
Mailing Address - Fax:410-823-1888
Practice Address - Street 1:32 WEST RD STE 100
Practice Address - Street 2:
Practice Address - City:TOWSON
Practice Address - State:MD
Practice Address - Zip Code:21204-2321
Practice Address - Country:US
Practice Address - Phone:410-823-1818
Practice Address - Fax:410-823-1888
Is Sole Proprietor?:Yes
Enumeration Date:2020-12-23
Last Update Date:2020-12-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD16013183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist