VENKATA GANGADHAR BODDULURI

FAYETTEVILLE, NC
NPI1205092913
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy183500000X Pharmacist
(Licence: NC  20199)
Enumeration Date2008-08-01
Last Update Date2009-06-09
Business Address
-- VENKATA GANGADHAR BODDULURI
1072 SOUTHERN AVE
FAYETTEVILLE, NC 28306-1766
Phone number: 910-484-0159
Mailing Address
-- VENKATA GANGADHAR BODDULURI
1072 SOUTHERN AVE
FAYETTEVILLE, NC 28306-1766
Phone number: 910-484-0159