CHANDIMA BANDARA DEEGALA

SHIPROCK, NM
NPI1275524894
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy183500000X Pharmacist
(Licence: MD  17516)
Enumeration Date2005-11-02
Last Update Date2008-02-08
Business Address
Mr. CHANDIMA BANDARA DEEGALA PharmD
US HWY 491 N
SHIPROCK, NM 87420
Phone number: 505-368-6401
Mailing Address
Mr. CHANDIMA BANDARA DEEGALA PharmD
PO BOX 160
SHIPROCK, NM 87420-0160
Phone number: 505-368-6401