Provider Demographics
NPI:1821619297
Name:LANDERMAN, DREW JAMES (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:DREW
Middle Name:JAMES
Last Name:LANDERMAN
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1814 RAMBLING RIDGE LN APT 202
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21209-1268
Mailing Address - Country:US
Mailing Address - Phone:410-271-2544
Mailing Address - Fax:
Practice Address - Street 1:8606 PHILADELPHIA RD
Practice Address - Street 2:
Practice Address - City:ROSEDALE
Practice Address - State:MD
Practice Address - Zip Code:21237-3021
Practice Address - Country:US
Practice Address - Phone:410-238-7705
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-04-27
Last Update Date:2020-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD27100183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist