Individual
MAHROKH IMANOEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6601 AMLEIGH RD, BALTIMORE, MD 21209-2603
(410) 978-7977
Mailing address
711 MAIDEN CHOICE LN, CATONSVILLE, MD 21228-3632
(410) 737-8820
(410) 737-8829
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
12487
MD
183500000X
Pharmacist
45198
CA
Other
Enumeration date
12/02/2020
Last updated
12/02/2020
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