KISHORE PERUMANDLA

LAKE HAVASU CITY, AZ
NPI1730492703
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy183500000X Pharmacist
(Licence: AZ  S016413)
Enumeration Date2010-07-20
Last Update Date2010-07-20
Business Address
KISHORE PERUMANDLA
25 LAKE HAVASU AVE S
LAKE HAVASU CITY, AZ 86403-6565
Phone number: 928-453-2808
Mailing Address
KISHORE PERUMANDLA
25 LAKE HAVASU AVE S
LAKE HAVASU CITY, AZ 86403-6565
Phone number: 928-453-2808
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