Individual
NAMRATHA MUSUNURU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6101 N KEYSTONE AVE, INDIANAPOLIS, IN 46220-2488
(317) 454-7505
Mailing address
8785 KEYSTONE XING, INDIANAPOLIS, IN 46240-2337
(646) 724-6284
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26029652A
IN
Other
Enumeration date
11/03/2022
Last updated
11/03/2022
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