Individual provider · Type 1 NPI

Ata Dizdar

Pharmacist · Randallstown, MD

NPI number 1003658063 Active

Practice location

8607 Liberty Rd
Randallstown, MD 21133-4713

Mailing address

12502 Degas Ct
North Potomac, MD 20878-3438

Other practice locations

  • 12502 Degas Ct, North Potomac, MD 20878-3438 · (301) 704-4407

Specialties and licenses

TaxonomyCodeLicense
Pharmacist 183500000X0202210252 (VA)
Pharmacist Primary 183500000X19522 (MD)

Pharmacist: An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage…

4 other providers at this address

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About NPI 1003658063

Ata Dizdar's National Provider Identifier is 1003658063, issued on Jun 11, 2024. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Randallstown, MD. The record was last updated on Jun 11, 2024.