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Individual

DR. SANKUNG SISE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PHARMD, BCPS

Contact information

Practice address
8210 RED GATE CT, BOWIE, MD 20715-3368
(240) 350-3354
Mailing address
8210 RED GATE CT, BOWIE, MD 20715-3368
(240) 350-3354

Taxonomy

Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
15695
MD
1835P1200X
Pharmacotherapy Pharmacist
PH1000000018
DC

Other

Enumeration date
08/23/2013
Last updated
08/23/2013
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