Provider Demographics
NPI:1801871280
Name:NOEL, JASON MICHAEL (PHARMD)
Entity type:Individual
Prefix:DR
First Name:JASON
Middle Name:MICHAEL
Last Name:NOEL
Suffix:
Gender:M
Credentials:PHARMD
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Mailing Address - Street 1:20 N PINE ST
Mailing Address - Street 2:S 428
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21201-1142
Mailing Address - Country:US
Mailing Address - Phone:410-706-7139
Mailing Address - Fax:410-706-0319
Practice Address - Street 1:55 WADE AVE
Practice Address - Street 2:PHARMACY DEPARTMENT
Practice Address - City:CATONSVILLE
Practice Address - State:MD
Practice Address - Zip Code:21228-4663
Practice Address - Country:US
Practice Address - Phone:410-402-7816
Practice Address - Fax:410-402-7990
Is Sole Proprietor?:No
Enumeration Date:2005-12-08
Last Update Date:2012-08-08
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Provider Licenses
StateLicense IDTaxonomies
MD154921835P1300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P1300XPharmacy Service ProvidersPharmacistPsychiatric