Individual
PRAVEEN KUMAR DHULIPALLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
28 BUCKINGHAM RD, AVON, CT 06001-5104
(203) 567-0135
Mailing address
28 BUCKINGHAM RD, AVON, CT 06001-5104
(203) 567-0135
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PCT0010979
CT
Other
Enumeration date
07/28/2013
Last updated
05/01/2015
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