VENKATA MUKKAMALA

GLENDALE, AZ
NPI1962824383
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy183500000X Pharmacist
(Licence: AZ  S015205)
Enumeration Date2014-01-21
Last Update Date2014-01-21
Business Address
-- VENKATA MUKKAMALA
6645 W PEORIA AVE
GLENDALE, AZ 85302-1011
Phone number: 623-773-2954
Mailing Address
-- VENKATA MUKKAMALA
6645 W PEORIA AVE
GLENDALE, AZ 85302-1011
Phone number: 623-773-2954
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