Individual
DR. GOVINDAN VAIDYANATHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
R.PH., PH.D.
Contact information
Practice address
5624 BALTIMORE NATIONAL PIKE, RITE AID PHARMACY STORE 374, BALTIMORE, MD 21228-1401
(410) 719-7608
Mailing address
3324 DEBRA CT, ELLICOTT CITY, MD 21042-3699
(301) 340-6956
(301) 340-6956
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
18471
MD
1835P2201X
Ambulatory Care Pharmacist
18471
MD
Other
Enumeration date
06/04/2011
Last updated
06/23/2016
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