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Individual

MRS. JOLLY ABRAHAM RAJU

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PHARM.D.

Contact information

Practice address
5939 HARRY HINES BLVD, POB II STE 600, DALLAS, TX 75235-6246
(214) 645-5609
(214) 645-5688
Mailing address
425 S HAMPTON CT, LEWISVILLE, TX 75056-5580
(972) 899-0395

Taxonomy

Speciality
Code
Description
License number
State
1835P1200X
Pharmacotherapy Pharmacist
Primary
42429
TX

Other

Enumeration date
05/02/2013
Last updated
05/02/2013
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