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1811030133
RAVINDER REDDY GUMMAKONDA
BRONX, NY
NPI
1811030133
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
183500000X Pharmacist
(Licence: NY 046642)
Enumeration Date
2007-02-15
Last Update Date
2007-07-08
Business Address
Mr. RAVINDER REDDY GUMMAKONDA Rph
322 E 149TH ST
BRONX, NY 10451-5613
Phone number: 718-292-8892
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Mailing Address
Mr. RAVINDER REDDY GUMMAKONDA Rph
33 BIRCHWOOD DR
WOODCLIFF LAKE, NJ 07677-7801
Phone number: 201-505-0229
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