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Individual

THARA VADAKEDOM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PHARM D

Contact information

Practice address
8940 COIT RD, PLANO, TX 75025-3804
(972) 377-4966
Mailing address
8940 COIT RD, PLANO, TX 75025-3804

Taxonomy

Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
71097
TX

Other

Enumeration date
09/27/2022
Last updated
09/27/2022
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