Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Ashok Pettem, BPHARMACY

Individual provider Pharmacist · NPI 1336437938

Ashok Pettem, BPHARMACY is a Pharmacist in Waldorf, Maryland. Practices as a sole proprietor. Licensed in Maryland.

Licensed in
MD
In the registry since
2011

Practice location Address checks out

11710 Henryetta Ct
Waldorf, MD 20602-4189
Phone: (731) 910-7729
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence 18171 (MD)

Record details

NPI number1336437938
Entity typeIndividual (Type 1)
GenderMale
Credentials BPHARMACY
Sole proprietorYes
NPI enumeratedJuly 16, 2011
Last updated in NPPESJuly 16, 2011

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