Individual
MANJUNATH MEDAHALLI KRISHNAPPA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
75 N EAST PLZ, NORTH EAST, MD 21901-3617
(410) 287-3479
Mailing address
2405 EASTRIDGE RD, LUTHERVILLE, MD 21093-2509
(410) 790-8914
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
18634
MD
Other
Enumeration date
11/28/2022
Last updated
11/28/2022
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