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1962824383
VENKATA MUKKAMALA
GLENDALE, AZ
NPI
1962824383
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
183500000X Pharmacist
(Licence: AZ S015205)
Enumeration Date
2014-01-21
Last Update Date
2014-01-21
Business Address
-- VENKATA MUKKAMALA
6645 W PEORIA AVE
GLENDALE, AZ 85302-1011
Phone number: 623-773-2954
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Mailing Address
-- VENKATA MUKKAMALA
6645 W PEORIA AVE
GLENDALE, AZ 85302-1011
Phone number: 623-773-2954
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