MR. Gangadar Gubba, PHARM.D

NPI #1114474103 in Kennewick, Washington

Provider Information

NPI Number: 1114474103
Entity Type: Individual
Name: MR. Gangadar Gubba, PHARM.D
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pharmacist
Credential: PHARM.D
Enumeration Date: Sep 7, 2016
Last Updated: Sep 7, 2016

Practice Location

Address: 2720 S QUILLAN STREET
Address 2: WAL-MART PHARMACY (STORE: 2101)
City: Kennewick
State: Washington
ZIP Code: 99337-9702
Phone: (509) 586-1574

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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