Individual
ALA KADUKUTTY SHUNMUKHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
701 W PRINCETON DR, PRINCETON, TX 75407-9002
(972) 736-6866
Mailing address
13647 MONSTRELL RD, FRISCO, TX 75035-2547
(617) 817-6870
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
52321
TX
Other
Enumeration date
11/22/2020
Last updated
11/22/2020
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