Individual
MR. KOTHANUR RAJANNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.PH
Contact information
Practice address
1030 JEFFERSON AVE, MEMPHIS, TN 38104-2127
(901) 523-8990
Mailing address
7991 ELM LEAF DR, GERMANTOWN, TN 38138-7130
(901) 758-0559
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5871
TN
Other
Enumeration date
09/02/2006
Last updated
07/08/2007
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