Individual
VENKATA AMARAVADI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMACIST
Contact information
Practice address
69 LEWIS ST, WHITESVILLE, WV 25209
(304) 854-2373
Mailing address
409 MANOR DR, PIKEVIEW APARTMENTS, BECKLEY, WV 25801-2543
(412) 915-5491
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP0007568
WV
Other
Enumeration date
05/05/2011
Last updated
05/05/2011
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