Organization
MOOKAMBIKA INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GITENDRA BOMMAREDDY RPH (PRESIDENT/OWNER)
(269) 501-7359
Entity
Organization
Contact information
Practice address
30 W MAIN ST, HARTFORD, MI 49057-1005
(269) 501-7359
Mailing address
23170 SCAGLIONE DR, LUTZ, FL 33549-5763
(269) 501-7359
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
07/31/2024
Last updated
07/31/2024
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