Individual
CHAKRADHARA LATTUPALLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2207 S ZARZAMORA ST, SAN ANTONIO, TX 78207-8024
(210) 223-3863
Mailing address
2028 RIO SAMBA, SAN ANTONIO, TX 78258-4915
(586) 873-2477
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
47467
TX
Other
Enumeration date
01/21/2021
Last updated
01/21/2021
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