S & R Reisterstown LLC
NPI #1043596513 in Reisterstown, Maryland
Provider Information
- NPI Number
- 1043596513
- Entity Type
- Organization
- Organization Name
- S & R Reisterstown LLC
- Primary Specialty
- Pharmacy
- Enumeration Date
- Oct 28, 2011
- Last Updated
- Mar 5, 2021
Practice Location
- Address
- 40 MAIN STREET
- City
- Reisterstown
- State
- Maryland
- ZIP Code
- 21136
- Phone
- (410) 833-9844
Authorized Official
- Name
- MR. SYAM K POTLURI, R. PH
- Title
- MANAGING MEMBER
- Phone
- (443) 823-3350
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacy |
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