Siddarthan Ilangovan, M.PHARM., R.PH.
NPI #1871144899 in Mount Gay, West Virginia
Provider Information
- NPI Number
- 1871144899
- Entity Type
- Individual
- Name
- Siddarthan Ilangovan, M.PHARM., R.PH.
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Pharmacist
- Credential
- M.PHARM., R.PH.
- Enumeration Date
- Sep 20, 2019
- Last Updated
- Sep 20, 2019
Practice Location
- Address
- 360 MOUNT GAY RD
- Address 2
- BYPASS PHARMACY # 6
- City
- Mount Gay
- State
- West Virginia
- ZIP Code
- 25637
- Phone
- (304) 752-1445
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacist |
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