SAM THEYYAN NATHAN

LEONARDTOWN, MD
NPI1366529851
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy183500000X Pharmacist
(Licence: MD  10756)
Enumeration Date2006-11-01
Last Update Date2007-07-08
Business Address
-- SAM THEYYAN NATHAN bs/pharmacy
40955 MERCHANTS LN
LEONARDTOWN, MD 20650-3702
Phone number: 301-475-7212
Mailing Address
-- SAM THEYYAN NATHAN bs/pharmacy
2751 RED LION PL
WALDORF, MD 20602-2030
Phone number: 301-932-8079