Individual
REGINA MULJADI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD, BCPS
Contact information
Practice address
2401 W BELVEDERE AVE, BALTIMORE, MD 21215-5216
(410) 601-8882
Mailing address
221 OWINGS GATE CT APT 302, OWINGS MILLS, MD 21117-4780
(410) 601-8882
Taxonomy
Speciality
Code
Description
License number
State
1835P1200X
Pharmacotherapy Pharmacist
Primary
17248
MD
Other
Enumeration date
03/27/2007
Last updated
07/08/2007
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