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Individual

ANDRE MELENDEZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PHARMD

Contact information

Practice address
580 MARKETPLACE DR, BEL AIR, MD 21014-4310
(410) 638-9031
Mailing address
580 MARKETPLACE DR, BEL AIR, MD 21014-4310

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
23632
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
23632
MARYLAND BOARD OF PHARMACY
MD
Enumeration date
09/15/2015
Last updated
09/15/2015
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