Individual
DR. SAGAR JAYANT SHUKLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
1927 EMMORTON RD, BEL AIR, MD 21015-6203
(410) 838-8573
Mailing address
22 KIMMIE CT, BEAR, DE 19701-1746
(302) 463-6124
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
20574
MD
Other
Enumeration date
10/20/2012
Last updated
10/20/2012
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