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Individual

MISS SUJATHA KOTARU

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1003 PULASKI HWY, HAVRE DE GRACE, MD 21078-2603
(410) 939-1140
Mailing address
165 HAUT BRION AVE, NEWARK, DE 19702-4537
(302) 836-3699

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
17824
MD

Other

Enumeration date
06/09/2014
Last updated
06/09/2014
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