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Individual
DR. NARENDRA B VUTLA
Active
Individual
DR. NARENDRA B VUTLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
054451
NY
183500000X
Pharmacist
28RI03187800
NJ
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
054451
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
054451
REGISTERED PHARMACIST
NY
01
—
054451-I
IMMUNIZING PHARMACIST
NY
01
—
28RI03187800
PHARMACIST LICENSE
NJ
Enumeration date
04/11/2010
Last updated
11/09/2010
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