Individual
DEBORAH BODNAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8241 BAYSIDE DR, PASADENA, MD 21122-5703
(803) 917-5877
Mailing address
8241 BAYSIDE DR, PASADENA, MD 21122-5703
(803) 917-5877
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
18062
MD
Other
Enumeration date
02/06/2018
Last updated
02/06/2018
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