Individual
DAISEN JOSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
6516 LANDOVER RD, CHEVERLY, MD 20785-1445
(301) 773-3355
Mailing address
6801 NILES DR, LAUREL, MD 20707-3233
(240) 543-2517
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
18039
MD
Other
Enumeration date
06/01/2007
Last updated
08/12/2014
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