Individual
MR. CHANDRA S VATTIKONDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
R.PH.
Contact information
Practice address
2409 ALCO AVE STE C, DALLAS, TX 75211-2614
(214) 919-2399
(214) 919-2344
Mailing address
2807 TWIN EAGLES DR, CELINA, TX 75009-4699
(973) 723-4523
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
73400
TX
Other
Enumeration date
11/04/2024
Last updated
11/04/2024
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