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Individual

SANTANDER BORNACELLY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
B652758014569

Contact information

Practice address
580 WESEL BLVD, HAGERSTOWN, MD 21740
(301) 739-7230
(301) 733-1558
Mailing address
13405 JOHN MARTIN DR, WILLIAMSPORT, MD 21795-1605
(301) 739-7230
(301) 733-1558

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
13789
MD

Other

Enumeration date
06/12/2014
Last updated
06/12/2014
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