Individual
AGIL K JOSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6480 OLD WATERLOO RD, ELKRIDGE, MD 21075-6508
(410) 799-0291
Mailing address
6016 AUGUSTINE AVE, ELKRIDGE, MD 21075-5351
(443) 653-6213
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26792
MD
Other
Enumeration date
09/06/2019
Last updated
09/06/2019
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