ATA DIZDAR

RANDALLSTOWN, MD
NPI1003658063
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy183500000X Pharmacist
(Licence: MD  19522)
Additional Taxonomies183500000X Pharmacist
(Licence: VA  0202210252)
Enumeration Date2024-06-11
Last Update Date2024-06-11
Business Address
ATA DIZDAR
8607 LIBERTY RD
RANDALLSTOWN, MD 21133-4713
Phone number: 410-521-9520
Mailing Address
ATA DIZDAR
12502 DEGAS CT
NORTH POTOMAC, MD 20878-3438
Phone number: