Individual
MR. PHANI DAGGUBATI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
50 SIGNAL HILLS CTR, WEST ST PAUL, MN 55118-2309
(651) 457-3355
Mailing address
50 SIGNAL HILLS CTR, KMART PHARMACY 9397, WEST ST PAUL, MN 55118-2309
(651) 457-3355
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
119019
MN
183500000X
Pharmacist
14598
WI
183500000X
Pharmacist
45135
TX
Other
Enumeration date
04/03/2014
Last updated
04/03/2014
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