Individual
LISA JANE SANDEROFF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.PH.
Contact information
Practice address
40 MAIN STREET, REISTERSTOWN, MD 21136
(410) 833-9844
Mailing address
40 MAIN STREET, REISTERSTOWN, MD 21136
(410) 833-9844
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
11816
MD
Other
Enumeration date
11/02/2011
Last updated
07/14/2014
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