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Individual
MR. SUMANTH KUMAR EDARA
Active
Individual
MR. SUMANTH KUMAR EDARA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PS41050
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1609166198
NPI
FL
01
—
5705314
NABP
FL
Enumeration date
05/12/2011
Last updated
09/28/2022
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