Individual
SASAN SEPEHRI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
7200 CRADLEROCK WAY, COLUMBIA, MD 21045-5170
(410) 290-7013
Mailing address
6973 DEEP CUP, COLUMBIA, MD 21045-4613
(443) 477-3439
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
24838
MD
Other
Enumeration date
10/31/2020
Last updated
10/31/2020
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