Individual
MANOGNA CHOUDARY PAMIDI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
4820 N ROAD 68, PASCO, WA 99301-9009
(509) 543-7947
Mailing address
1343 DIAMOND LOOP, WEST RICHLAND, WA 99353-7841
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH60736800
WA
Other
Enumeration date
08/24/2018
Last updated
08/24/2018
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