Organization
WATERVLIET PHARMACY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAMAKRISHNA BURRAMUKKU (MEMBER)
(269) 201-6100
Entity
Organization
Contact information
Practice address
317 N MAIN ST, WATERVLIET, MI 49098-9608
(692) 016-1002
(269) 201-6062
Mailing address
317 N MAIN ST, WATERVLIET, MI 49098-9608
(269) 201-6100
(269) 201-6020
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
11/27/2017
Last updated
05/18/2022
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