Innominds LLC

NPI #1508675364 in Union Gap, Washington

Provider Information

NPI Number
1508675364
Entity Type
Organization
Organization Name
Innominds LLC
Primary Specialty
Pharmacy - Community/Retail Pharmacy
Enumeration Date
Jan 6, 2025
Last Updated
Jan 6, 2025

Practice Location

Address
1215 E WASHINGTON AVE
ZIP Code
98903-1669
Phone
(509) 823-1657

Authorized Official

Name
MR. MASTAN RAMPRASAD GANGISETTI, RPH
Title
PHARMACY MANAGER
Phone
(509) 942-4835

Specialties & Taxonomy Codes

Specialty
Pharmacy
Pharmacy - Community/Retail PharmacyCommunity/Retail Pharmacy

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