Provider Demographics
NPI:1780937672
Name:SARODIA, ANKUR (PHARMD)
Entity type:Individual
Prefix:
First Name:ANKUR
Middle Name:
Last Name:SARODIA
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1527 LIGHT ST
Mailing Address - Street 2:APT #2
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21230-4516
Mailing Address - Country:US
Mailing Address - Phone:610-716-2693
Mailing Address - Fax:
Practice Address - Street 1:29-31 SHIPPING PLACE
Practice Address - Street 2:C/O RITE AID
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21222
Practice Address - Country:US
Practice Address - Phone:410-282-0020
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-10-17
Last Update Date:2012-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD20768183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist