Individual
MILANNI BUSHROD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11603 ROLLING GLEN WAY, UPPER MARLBORO, MD 20772-4293
(301) 266-5331
Mailing address
11603 ROLLING GLEN WAY, UPPER MARLBORO, MD 20772-4293
(301) 266-5331
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
28595
MD
Other
Enumeration date
06/09/2022
Last updated
06/09/2022
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