Individual
ANAND MANGU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
12211 PLUM ORCHARD DR, SILVER SPRING, MD 20904-7903
(240) 531-4400
(240) 531-4401
Mailing address
3837 BRAVEHEART DR, FREDERICK, MD 21704-7718
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
A1-0003836
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A1-0003836
STATE LICENSE
DE
Enumeration date
08/05/2010
Last updated
03/13/2025
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