Individual
AJI KANNAMALA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1145 HOMESTEAD RD, LEHIGH ACRES, LEHIGH ACRES, FL 33976
(239) 368-2100
(239) 368-2289
Mailing address
1145 HOMESTEAD RD N, LEHIGH ACRES, LEHIGH ACRES, FL 33936-6039
(239) 368-2100
(239) 368-2289
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PS38635
FL
Other
Enumeration date
01/10/2014
Last updated
01/10/2014
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