Balamathew R Pudota

NPI 1255684643 - Pharmacist - 183500000X

NPI Details
NPI 1255684643
Gender Male
Enumeration Date 10/23/2012
Last Updated 10/23/2012
Entity Type Individual
Active Over 5 years ago
Practice Location
FLINT MI, 48532-3640, US
Phone (810) 424-9270
Business Location
2160 E HILL RD
APT #41
GRAND BLANC MI, 48439-5183, US
Phone (810) 919-8567
Taxonomy Code 183500000X
License State Michigan
License Number 5302039319
Remove 1255684643 NPI Number

According to our database, Balamathew R Pudota NPI is 1255684643, taxonomy code is 183500000X and license number is 5302039319, license state is located at Michigan. Balamathew R Pudota physically located at 502 S Ballenger Hwy, Flint MI, 48532-3640. NPI Number Balamathew R Pudota has the Individual type.

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1255684643 NPI number is provided on an as is basis without warranty of any kind. 1255684643 is maintained by the National Plan & Provider Enumeration System. The contents of Balamathew R Pudota are for informational purposes only.