Individual
SAMANTHA MANGUNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12251 DARNESTOWN RD, GAITHERSBURG, MD 20878-2203
(301) 417-0922
Mailing address
22925 TOWNSEND TRL, CLARKSBURG, MD 20871-9563
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
28276
MD
Other
Enumeration date
10/08/2021
Last updated
09/14/2024
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