Individual
KRISHNA CHAITANYA GONDI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
650, ELM STREET, PAGE, AZ 86040
(928) 645-2917
(928) 645-1286
Mailing address
PO BOX 4674, PAGE, AZ 86040-4674
(928) 614-9012
(928) 645-1286
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
15210
AZ
Other
Enumeration date
03/07/2007
Last updated
07/08/2007
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