Individual
MADHURIMA AGUMAMIDI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S
Contact information
Practice address
101 N EAST PLZ, NORTH EAST, MD 21901-3633
(410) 287-5220
(410) 287-6560
Mailing address
18 LATOUR LN, NEWARK, DE 19702-4544
(302) 365-5131
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
17043
MD
183500000X
Pharmacist
28RI03342800
NJ
183500000X
Pharmacist
A1-0003693
DE
Other
Enumeration date
06/29/2010
Last updated
06/29/2010
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