Provider Demographics
NPI:1811697618
Name:MCLAREN, EARL ALEXANDER (PD, RPH)
Entity type:Individual
Prefix:MR
First Name:EARL
Middle Name:ALEXANDER
Last Name:MCLAREN
Suffix:
Gender:M
Credentials:PD, RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8601 SADDLEBACK PL
Mailing Address - Street 2:
Mailing Address - City:LAUREL
Mailing Address - State:MD
Mailing Address - Zip Code:20723-4901
Mailing Address - Country:US
Mailing Address - Phone:301-938-4643
Mailing Address - Fax:
Practice Address - Street 1:1935 LANSDOWNE RD
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21227-1707
Practice Address - Country:US
Practice Address - Phone:410-536-0555
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-03-09
Last Update Date:2023-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD11790183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist