Individual
MARY MAVUMKAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
950 CAMPBELL AVE, WEST HAVEN, CT 06516-2770
(203) 932-5711
Mailing address
3271 PRINCETON DR, YORKTOWN HEIGHTS, NY 10598-5308
(914) 419-3892
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PS49631
FL
Other
Enumeration date
09/26/2012
Last updated
09/26/2012
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