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SRILATHA ANUMASU RPH

>> Pharmacist >> Pharmacy Service Providers

Registrant NPI Number: 1699440644

Individual Registrant:
 SRILATHA  ANUMASU RPH
Gender: F
Not Sole Proprietor

Location and contact information for practice:
116 BLACKFORD WAY  SAINT AUGUSTINE, FL 32086-1876 US
Tel: 904-436-0006  Fax: --

Contact information for business:
824 CHANTERELLE WAY  SAINT JOHNS, FL 32259-8000 US
Tel: 732-567-2138  Fax: --

Registration Information:
NPI: 1699440644
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y183500000XPharmacy Service Providers
Pharmacist
FLPS38551

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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