MEDICARE: ANURADHA BIJJA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	18271	MD

General Provider Information

NPI Number	:	1518559574
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANURADHA BIJJA

Provider Business Mailing Address
First Line	:	16 LATOUR LN
Second Line	:
City	:	NEWARK
State	:	DE
Zip	:	19702-4544
Country	:	US
Telephone Number	:	302-750-8629
Fax Number	:

Provider Business Practice Location Address
First Line	:	218 E PULASKI HWY
Second Line	:
City	:	ELKTON
State	:	MD
Zip	:	21921-6650
Country	:	US
Telephone Number	:	443-207-5105
Fax Number	:	443-245-3734

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/10/2021
Last Update Date	:	02/10/2021

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Directions to “ ANURADHA BIJJA ” Practice Location

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