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1144833351
SAM KHOSRAVIANI
HYATTSVILLE, MD
NPI
1144833351
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
183500000X Pharmacist
(Licence: MD 27414)
Enumeration Date
2020-08-26
Last Update Date
2020-08-26
Business Address
SAM KHOSRAVIANI
6525 BELCREST RD
HYATTSVILLE, MD 20782-2003
Phone number: 301-209-6688
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Mailing Address
SAM KHOSRAVIANI
304 EDMONSTON DR
ROCKVILLE, MD 20851-1305
Phone number:
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