MS. Surya Lakshmi Rani Balusu, RPH

NPI #1558965491 in Bloomington, Illinois

Provider Information

NPI Number: 1558965491
Entity Type: Individual
Name: MS. Surya Lakshmi Rani Balusu, RPH
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pharmacist
Credential: RPH
Enumeration Date: Nov 22, 2020
Last Updated: Nov 22, 2020

Practice Location

Address: 1130 S VETERANS PKWY
City: Bloomington
State: Illinois
ZIP Code: 61704-7117
Phone: (309) 661-1839

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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