Individual
MR. MARK A. GONITZKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH, EMT-P
Contact information
Practice address
10810 CONNECTICUT AVE, KENSINGTON, MD 20895-2138
(240) 388-1690
Mailing address
10810 CONNECTICUT AVE, KENSINGTON, MD 20895-2138
(240) 388-1690
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
0202009849
VA
183500000X
Pharmacist
Primary
11860
MD
Other
Enumeration date
03/26/2013
Last updated
03/26/2013
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