Individual
MYLA AGUSTIN DELLUPAC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12251 DARNESTOWN RD, GAITHERSBURG, MD 20878-2203
(301) 417-0922
Mailing address
12251 DARNESTOWN RD, GAITHERSBURG, MD 20878-2203
(301) 417-0922
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
18622
MD
Other
Enumeration date
11/13/2010
Last updated
11/13/2010
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