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Individual

RANJITH KUMAR BOMPELLI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
RPH

Contact information

Practice address
5720 DEALE CHURCHTON RD, DEALE, MD 20751-9756
(410) 867-2500
Mailing address
5270 DEALE-CHURCHTON ROAD, DEALE, MD 20751
(410) 867-2500

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
20151
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
18
NC
Enumeration date
09/02/2009
Last updated
03/21/2012
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