Individual
MR. SATHISH ARCOT JAISHANKERVEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS.,RPH
Contact information
Practice address
3400 MOUNTAIN RD, PASADENA, MD 21122-2021
(410) 360-1509
(410) 360-4209
Mailing address
712 HAMMOND BRANCH RD APT 202, ODENTON, MD 21113-2480
(443) 370-3954
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
0202208271
VA
183500000X
Pharmacist
Primary
18432
MD
Other
Enumeration date
04/09/2008
Last updated
04/09/2008
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