MR. Prem Kumar Medepalli

NPI #1518656677 in Omak, Washington

Provider Information

NPI Number: 1518656677
Entity Type: Individual
Name: MR. Prem Kumar Medepalli
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pharmacist
Enumeration Date: May 4, 2023
Last Updated: May 4, 2023

Practice Location

Address: OMAK PHARMACY
Address 2: 903 ENGH RD STE # A,
City: Omak
State: Washington
ZIP Code: 98841
Phone: (509) 422-1500

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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