Individual
SHADANA MADDOX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
1221 MERCANTILE LN, LARGO, MD 20774-5374
(301) 618-4200
Mailing address
16523 GOVERNOR BRIDGE RD APT 207, BOWIE, MD 20716-3671
(301) 641-7087
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
25351
MD
Other
Enumeration date
02/06/2018
Last updated
02/06/2018
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