Individual
MR. MAHESH GOPALAIAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
4540 LACEY BLVD SE, LACEY, WA 98503-5719
(306) 438-2353
Mailing address
4540 LACEY BLVD SE, LACEY, WA 98503-5719
(306) 438-2353
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH00058690
WA
Other
Enumeration date
02/12/2010
Last updated
02/12/2010
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