Individual
DHIRAJ NUKALA JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
R.PH
Contact information
Practice address
1555 S AVENUE B, YUMA, AZ 85364-4584
(928) 819-0208
(928) 819-0599
Mailing address
1334 S AVENUE B, APT 5, YUMA, AZ 85364-4350
(928) 819-0208
(928) 810-0599
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
0330003800
VT
183500000X
Pharmacist
Primary
S016489
AZ
Other
Enumeration date
05/20/2014
Last updated
05/20/2014
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