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Individual
RAJENDER VENKAT
Active
Individual
RAJENDER VENKAT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMACIST
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
041900-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01432420
—
NY
Enumeration date
03/19/2010
Last updated
03/19/2010
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