Bhanuprakash Mamidi

NPI #1528654761 in Franklin Park, New Jersey

Provider Information

NPI Number
1528654761
Entity Type
Individual
Name
Bhanuprakash Mamidi
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Pharmacist
Enumeration Date
Dec 11, 2020
Last Updated
Dec 11, 2020

Practice Location

Address
3211 RTE 27 SOUTH
ZIP Code
08823
Phone
(732) 422-0213

Specialties & Taxonomy Codes

Specialty
Pharmacist

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