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1083996995
RAVIKANTH PASALA
AUGUSTA, GA
NPI
1083996995
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
183500000X Pharmacist
(Licence: GA RPH25289)
Enumeration Date
2011-09-16
Last Update Date
2011-09-16
Business Address
-- RAVIKANTH PASALA PharmD
3204 PEACH ORCHARD RD
AUGUSTA, GA 30906-4862
Phone number: 706-796-7240
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Mailing Address
-- RAVIKANTH PASALA PharmD
836 SPARKLEBERRY RD
EVANS, GA 30809-4407
Phone number: 706-631-8328
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