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Individual
SRIKANTH THUMMA
Active
Individual
SRIKANTH THUMMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP452243
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RP452243
BOARD OF PHARMACY
PA
Enumeration date
01/24/2019
Last updated
01/24/2019
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