Individual
MARY GENDI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
107 GOVERNORS CT APT K, GLEN BURNIE, MD 21061-3190
(410) 689-5323
Mailing address
501 N FREDERICK AVE STE 107B, GAITHERSBURG, MD 20877-2507
(301) 519-9518
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
25706
MD
Other
Enumeration date
12/11/2018
Last updated
12/11/2018
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