Venu Gopal Potluri R.PH

NPI 1033460563 - Pharmacist - 183500000X

NPI Details
NPI 1033460563
Gender Male
Enumeration Date 09/24/2012
Last Updated 09/24/2012
Entity Type Individual
Active Over 4 years ago
Practice Location
1059 E 9 MILE RD
HAZEL PARK MI, 48030-1855, US
Phone (248) 808-6929
Fax
Business Location
1856 COOLIDGE HWY
APT 209
TROY MI, 48084-3609, US
Phone (248) 792-9501
Fax
Toxanomy
Taxonomy Code 183500000X
License State Michigan
License Number 5302036343
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According to our database, Venu Gopal Potluri R.PH NPI is 1033460563, taxonomy code is 183500000X and license number is 5302036343, license state is located at Michigan. Venu Gopal Potluri R.PH physically located at 1059 E 9 Mile Rd, Hazel Park MI, 48030-1855. NPI Number Venu Gopal Potluri R.PH has the Individual type.

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1033460563 NPI number is provided on an as is basis without warranty of any kind. 1033460563 is maintained by the National Plan & Provider Enumeration System. The contents of Venu Gopal Potluri R.PH are for informational purposes only.