Ashok Pettem, B.PHARMACY

NPI #1336437938 in Waldorf, Maryland

Provider Information

NPI Number: 1336437938
Entity Type: Individual
Name: Ashok Pettem, B.PHARMACY
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Pharmacist
Credential: B.PHARMACY
Enumeration Date: Jul 16, 2011
Last Updated: Jul 16, 2011

Practice Location

Address: 11710 HENRYETTA CT
City: Waldorf
State: Maryland
ZIP Code: 20602-4189
Phone: (731) 910-7729

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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