Individual
PRAJAKTA DRAVID
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
407 GEORGE CLAUSS BLVD, SEVERN, MD 21144-1317
(410) 582-9335
Mailing address
407 GEORGE CLAUSS BLVD, SEVERN, MD 21144-1317
(410) 582-9335
Taxonomy
Speciality
Code
Description
License number
State
1835P2201X
Ambulatory Care Pharmacist
Primary
23138
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
23138
PHARMACIST LICENSE
MD
Enumeration date
11/05/2020
Last updated
11/05/2020
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