Individual
CHAKRAVARTHY CHALAMALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
980 NORTH HIGHWAY 491, SAFEWAY PHARMACY, GALLUP, NM 87301
(505) 722-9977
(505) 722-8481
Mailing address
910B E GREEN AVE, GALLUP, NM 87301-5515
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP00007440
NM
Other
Enumeration date
06/06/2012
Last updated
06/06/2012
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