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Individual

JONNALAGADDA S SASTRY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
6400A RIDGE RD STE 1, SYKESVILLE, MD 21784-6272
(410) 549-5491
(410) 549-5493
Mailing address
7 QUELET CT, NOTTINGHAM, MD 21236-1551
(410) 206-4655

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
14129
MD

Other

Enumeration date
10/30/2020
Last updated
10/30/2020
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