Individual
MR. KSHITIJ O MANTRI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
R PH
Contact information
Practice address
525 W 21ST ST, NORFOLK, VA 23517-1985
(757) 625-6073
(757) 625-2494
Mailing address
1510 PENTON MEWS, CHESAPEAKE, VA 23320-2984
(757) 410-2387
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0202206811
VA
Other
Enumeration date
06/05/2007
Last updated
07/08/2007
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