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MR. VENKATA SATYA BHUPATHIRAJU
>> Pharmacist >> Pharmacy Service ProvidersRegistrant NPI Number: 1073845137
Individual Registrant:MR. VENKATA SATYA BHUPATHIRAJU
Gender: M
Sole Proprietor
Gender: M
Sole Proprietor
Location and contact information for practice:
2360 HIGHWAY 95 BULLHEAD CITY, AZ 86442-7303 US
Tel: 928-763-5858 Fax: --
Tel: 928-763-5858 Fax: --
Contact information for business:
1618 GOLDRUSH RD APT 241 BULLHEAD CITY, AZ 86442-8390 US
Tel: 928-234-2686 Fax: --
Tel: 928-234-2686 Fax: --
Registration Information:
NPI: 1073845137
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 183500000X | Pharmacy Service Providers Pharmacist | AZ | S017045 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
