Individual
MR. JAYAKRISHNA UPPOOR KUKKILLAYA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
BPHARM
Contact information
Practice address
2700 MOUNTAINEER BLVD, SOUTH CHARLESTON, WV 25309-9446
(304) 766-1725
(304) 746-1727
Mailing address
2700 MOUNTAINEER BLVD, SOUTH CHARLESTON, WV 25309-9446
(304) 766-1725
(304) 746-1727
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP0006757
WV
Other
Enumeration date
11/09/2020
Last updated
11/09/2020
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