Individual
MRS. JAININE BOTEK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
7070 SAMUEL MORSE DR, COLUMBIA, MD 21046-3424
(410) 309-7500
(410) 309-3350
Mailing address
4021 ZUNI CT, ELLICOTT CITY, MD 21043-5448
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
15195
MD
Other
Enumeration date
03/05/2013
Last updated
03/05/2013
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