Individual
PANKAJ K SHRIVASTAVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMACIST
Contact information
Practice address
8B MOUNTAIN RD, GLEN BURNIE, MD 21060-7974
(410) 553-4156
(410) 595-6960
Mailing address
8B MOUNTAIN RD, GLEN BURNIE, MD 21060-7974
(410) 553-4156
(410) 595-6960
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
23793
MD
Other
Enumeration date
10/29/2020
Last updated
10/29/2020
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