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Sanjay Ghosh Phd Md Pc
Non-Pharmacy Dispensing Site in Washington, Missouri
NPI 1083788509

Sanjay Ghosh Phd Md Pc is a Non-Pharmacy Dispensing Site based in Washington, MO. Sanjay Ghosh Phd Md Pc practices in Washington, MO. The NPI Number for Sanjay Ghosh Phd Md Pc is 1083788509 and holds a License No. R6N94 (Missouri).

The current practice location address for Sanjay Ghosh Phd Md Pc is 1080 Caroline Dr, Washington, MO and can be reached out via phone at 636-390-2288 and via fax at 636-390-2277. You can also correspond with Sanjay Ghosh Phd Md Pc through the mailing address at 1080 CAROLINE DR, WASHINGTON, MO - 63090-4902 (mailing address contact number: ).

Location: 1080 Caroline Dr, Washington, MO, 63090-4902
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1083788509
Provider Name
Sanjay Ghosh Phd Md Pc
Credential
Provider Entity Type
Organization
Address
1080 Caroline Dr, Washington, MO, 63090-4902
Phone Number
636-390-2288
Fax Number
636-390-2277
Provider Enumeration Date
11/17/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2636376 01 OTHER ID NUMBER-COMMERCIAL NUMBER
institution
Provider Business Practice Location Address Details
Address
1080 Caroline Dr
City
Washington
State
Missouri
Zip
63090-4902
Phone Number
636-390-2288
Fax Number
636-390-2277
person
Provider Business Mailing Address Details
Address
1080 Caroline Dr
City
Washington
State
Missouri
Zip
63090-4902
Phone Number
636-390-2288
Fax Number
636-390-2277
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Non-Pharmacy Dispensing Site
Speciality
-
Taxonomy
332900000X
License No.
R6N94 (Missouri)
Definition
A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)
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