Individual
EMMANUEL N VASILARAKIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM.D.
Contact information
Practice address
1238 PUTTY HILL AVE, TOWSON, MD 21286-5844
(410) 823-4543
Mailing address
1238 PUTTY HILL AVE, TOWSON, MD 21286-5844
(410) 823-4543
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
23309
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
23309
STATE OF MARYLAND
MD
Enumeration date
07/14/2015
Last updated
07/14/2015
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