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Individual

AMULYA TATACHAR

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PHARMD

Contact information

Practice address
3500 CAMP BOWIE BLVD, FORT WORTH, TX 76107-2644
(817) 735-0490
Mailing address
3500 CAMP BOWIE BLVD, FORT WORTH, TX 76107-2644

Taxonomy

Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
52023
TX

Other

Enumeration date
04/13/2015
Last updated
04/13/2015
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