Kishore Perumandla

NPI 1730492703 - Pharmacist - 183500000X

NPI Details
NPI 1730492703
Gender Male
Enumeration Date 07/20/2010
Last Updated 07/20/2010
Entity Type Individual
Active Over 6 years ago
Practice Location
25 LAKE HAVASU AVE S
LAKE HAVASU CITY AZ, 86403-6565, US
Phone (928) 453-2808
Fax (928) 453-2619
Business Location
25 LAKE HAVASU AVE S
LAKE HAVASU CITY AZ, 86403-6565, US
Phone (928) 453-2808
Fax (928) 453-2619
Toxanomy
Taxonomy Code 183500000X
License State Arizona
License Number S016413
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According to our database, Kishore Perumandla NPI is 1730492703, taxonomy code is 183500000X and license number is S016413, license state is located at Arizona. Kishore Perumandla physically located at 25 Lake Havasu Ave S, Lake Havasu City AZ, 86403-6565. NPI Number Kishore Perumandla has the Individual type.

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1730492703 NPI number is provided on an as is basis without warranty of any kind. 1730492703 is maintained by the National Plan & Provider Enumeration System. The contents of Kishore Perumandla are for informational purposes only.