Individual
DR. SHAHRZAD VASY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11011 MANKLIN CREEK RD, BERLIN, MD 21811-4010
(410) 641-5858
Mailing address
8690 BARBARA ANN WAY APT 304, DELMAR, MD 21875-2487
(302) 437-4286
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26174
MD
183500000X
Pharmacist
A1-0005337
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
26174
IMMUNIZING PHARMACIST LICENSE
MD
01
—
A1-0005337
IMMUNIZING PHARMACIST LICENSE
DE
Enumeration date
11/19/2018
Last updated
11/19/2018
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