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

Individual provider Pharmacist · NPI 1003658063

Ata Dizdar is a Pharmacist in Randallstown, Maryland. Practices as a sole proprietor and works from 2 locations. Licensed in Maryland and Virginia.

Licensed in
MD, VA
In the registry since
2024
Specialties on file
2
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Practice location Address checks out

8607 Liberty Rd
Randallstown, MD 21133-4713
Phone: (410) 521-9520
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

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

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence 19522 (MD)
Pharmacist Taxonomy 183500000X · Licence 0202210252 (VA)

Record details

NPI number1003658063
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJune 11, 2024
Last updated in NPPESJune 11, 2024
Certification dateJune 11, 2024
Mailing address12502 Degas Ct, North Potomac, MD 20878-3438

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