Individual
ASRA FAROOQUI KIDWAI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5401 OLD COURT RD, RANDALLSTOWN, MD 21133-5103
(410) 521-2100
Mailing address
831 WOODSIDE PKWY, SILVER SPRING, MD 20910-4275
(908) 510-9228
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH100003153
DC
Other
Enumeration date
02/12/2019
Last updated
02/12/2019
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