Individual
MR. BALA KRISHNA EREVENTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.S.
Contact information
Practice address
8309 W GLENDALE AVE, GLENDALE, AZ 85305-2102
(623) 772-5547
(623) 877-0235
Mailing address
8309 W GLENDALE AVE, GLENDALE, AZ 85305-2102
(623) 772-5547
(623) 877-0235
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
S015833
AZ
Other
Enumeration date
01/22/2010
Last updated
01/22/2010
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