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1063066751
REJI MAVUMKAL
ROSEBUD, SD
NPI
1063066751
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
183500000X Pharmacist
(Licence: FL PS57215)
Enumeration Date
2019-07-31
Last Update Date
2019-07-31
Business Address
REJI MAVUMKAL PHARMD
400 SOLDIER CREEK DR
ROSEBUD, SD 57570-8502
Phone number: 605-747-2231
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Mailing Address
REJI MAVUMKAL PHARMD
PO BOX 601
ROSEBUD, SD 57570-0601
Phone number: 845-803-5795
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