Individual
SUREKHA KOTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
123 NASHUA RD, LONDONDERRY, NH 03053-3453
(603) 437-8100
Mailing address
19 BOURNE DR, BEDFORD, NH 03110-6849
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
CPHT-123974
NH
Other
Enumeration date
03/06/2022
Last updated
03/06/2022
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