VIJAY VENNAM

YUMA, AZ
NPI1528399490
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy183500000X Pharmacist
(Licence: AZ  S017009)
Enumeration Date2010-01-15
Last Update Date2010-01-15
Business Address
Mr. VIJAY VENNAM
2801 S 4TH AVE
YUMA, AZ 85364-8125
Phone number: 928-344-1010
Mailing Address
Mr. VIJAY VENNAM
2801 S 4TH AVE
YUMA, AZ 85364-8125
Phone number: 928-344-1010