Bhanuprakash Mamidi Valid NPI
Individual provider · Pharmacist · Franklin Park, NJ
- NPI
- 1528654761
- Type
- Individual (Type 1)
- Primary specialty
- Pharmacist
- Specialty group
- Pharmacy Service Providers
- Taxonomy code
- 183500000X
- License number
- 28RI03136500 (NJ)
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2020-12-11
- Last updated
- 2020-12-11
Practice location
3211 Rte 27 South
Franklin Park, NJ 08823
(732) 422-0213