Individual
MR. MOHAMED FADL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
6303 WOODCHASE CT, ELLICOTT CITY, MD 21043-7949
(186) 290-2371
Mailing address
6303 WOODCHASE CT, ELLICOTT CITY, MD 21043-7949
(186) 290-2371
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
17879
MD
Other
Enumeration date
08/26/2014
Last updated
08/26/2014
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