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Individual

BHASKER UMAKANT TRIPATHI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
R.PH

Contact information

Practice address
19400 W CATAWBA AVE, CORNELIUS, NC 28031-4000
(704) 892-9540
(704) 892-7684
Mailing address
19400 W CATAWBA AVE, CORNELIUS, NC 28031-4000
(704) 892-9540
(704) 892-7684

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
17006
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0609032
NC
Enumeration date
09/13/2009
Last updated
09/13/2009
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