BHAVANA V MUTHA

WOODSTOCK, GA
NPI1972627149
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy183500000X Pharmacist
(Licence: GA  rph022974)
Enumeration Date2007-03-16
Last Update Date2007-07-08
Business Address
-- BHAVANA V MUTHA pharmacist
4477 TOWNE LAKE PKWY
WOODSTOCK, GA 30189-6786
Phone number: 770-928-8368
Mailing Address
-- BHAVANA V MUTHA pharmacist
4577 RIVER PKWY APT M
ATLANTA, GA 30339-3877
Phone number: 770-818-9246