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Individual
MR. GANESH KRISHNA CHAND TALASILA
Active
Individual
MR. GANESH KRISHNA CHAND TALASILA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMACIST
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
057584-1
NY
183500000X
Pharmacist
28RI03413900
NJ
183500000X
Pharmacist
PCT0012255
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
057584-1
STATE LICENSE
NY
01
—
28RI03413900
NJ BOARD OF PHARMACY
NJ
01
—
PCT0012255
STATE LICENSE
CT
Enumeration date
05/24/2011
Last updated
12/04/2015
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