Individual
ANOOJ MAMLATDARNA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
5405 LYNX LN, COLUMBIA, MD 21044-2374
(410) 740-7273
Mailing address
5405 LYNX LN, COLUMBIA, MD 21044-2374
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
27733
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
R60766557
BLUE CROSS BLUE
MD
Enumeration date
02/09/2021
Last updated
02/09/2021
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