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1851842207
VISWA PRAKASH VARMA MANTENA
CAMDEN, NJ
NPI
1851842207
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
183500000X Pharmacist
(Licence: NJ 28RI03137900)
Enumeration Date
2016-10-20
Last Update Date
2016-10-20
Business Address
-- VISWA PRAKASH VARMA MANTENA
3213 RIVER RD
CAMDEN, NJ 08105
Phone number: 856-757-0200
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Mailing Address
-- VISWA PRAKASH VARMA MANTENA
8 JERRICK CT
MOUNT LAUREL, NJ 08054-9525
Phone number:
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