Individual
MARK BOLITISKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
400 ENGLAR RD, WESTMINSTER, MD 21157-6185
(410) 857-9000
Mailing address
1402 COPPER BEECH CT, ELDERSBURG, MD 21784-6442
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
22480
MD
Other
Enumeration date
07/27/2014
Last updated
07/27/2014
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