Organization
BALASAI PHARMACY LLC
Active
Other names
Durham Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SREENADHA REDDY BOMMU RPH (PHARMACIST MANAGER)
(919) 224-1234
Entity
Organization
Contact information
Practice address
5826 FAYETTEVILLE RD STE 105, DURHAM, NC 27713-8684
(919) 224-1234
(919) 224-2345
Mailing address
5826 FAYETTEVILLE RD STE 105, DURHAM, NC 27713-8684
(919) 224-1234
(919) 224-2345
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
13190
NC
Other
Enumeration date
03/06/2017
Last updated
03/07/2017
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