Individual
NIRUKTI BASI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
15600 COLUMBIA PIKE, BURTONSVILLE, MD 20866-1630
(734) 837-1928
Mailing address
1200 S CONKLING ST APT 543, BALTIMORE, MD 21224-5332
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
24862
MD
Other
Enumeration date
08/18/2017
Last updated
08/18/2017
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