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Individual

DR. AMAR GHODASARA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHARMD

Contact information

Practice address
3900 TEN OAKS RD STE 11, GLENELG, MD 21737-9758
(410) 531-9699
(410) 531-6433
Mailing address
PO BOX 355, GLENELG, MD 21737-0355
(410) 531-9699
(410) 531-6433

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
23669
MD

Other

Enumeration date
04/16/2019
Last updated
04/16/2019
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