Individual
MR. PRASAD MATTUPALLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
7571 RITCHIE HWY, GLEN BURNIE, MD 21061-3716
(410) 761-3443
(410) 590-1986
Mailing address
7571 RITCHIE HWY, GLEN BURNIE, MD 21061-3716
(410) 761-3443
(410) 590-1986
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
14582
MD
Other
Enumeration date
03/02/2007
Last updated
07/08/2007
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