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Individual

SANJAY L RAYATHATHA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
RPH

Contact information

Practice address
4339 EBENEZER RD, BALTIMORE, MD 21236-2143
(410) 529-8500
Mailing address
8729 LASALLE CT, ELLICOTT CITY, MD 21043-4185
(410) 750-3577

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
14290
MD

Other

Enumeration date
04/18/2007
Last updated
07/08/2007
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