Individual
KRISHNA KUMAR NAGA VENKATA JAKKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
130 GOVERNOR TRUMBULL WAY, TRUMBULL, CT 06611-5603
(904) 314-2276
(203) 590-3738
Mailing address
1201 WOODLANDHILLS DR, TRUMBULL, CT 06611
(904) 314-2276
(203) 549-0650
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
056726-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
056726-1
PHARMACIST
NY
01
—
28R03209900
PHARMACIST
NJ
01
—
PCT.0010976
PHARMACIST
CT
01
—
PS41668
PHARMACIST
FL
Enumeration date
01/16/2013
Last updated
02/19/2025
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