Individual
REJI MAVUMKAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
400 SOLDIER CREEK DR, ROSEBUD, SD 57570-8502
(605) 747-2231
Mailing address
PO BOX 601, ROSEBUD, SD 57570-0601
(845) 803-5795
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PS57215
FL
Other
Enumeration date
07/31/2019
Last updated
07/31/2019
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