Individual
SUBY MANIYATTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
101 BIG ELK MALL, ELKTON, MD 21921-6035
(410) 620-0602
(410) 620-0477
Mailing address
101 BIG ELK MALL, ELKTON, MD 21921-6035
(410) 620-0602
(410) 620-0477
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
15671
MD
Other
Enumeration date
03/19/2016
Last updated
03/19/2016
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