Individual
NATHAN GOLDENTAYER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
11604 REISTERSTOWN RD, REISTERSTOWN, MD 21136-3702
(410) 526-1661
Mailing address
4 SIMPSON CT, REISTERSTOWN, MD 21136-6413
(410) 591-6474
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
28091
MD
Other
Enumeration date
08/24/2021
Last updated
08/24/2021
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