Individual
DIVYA NOOKALA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1200 MARKET ST, LEMOYNE, PA 17043-1418
(717) 761-1995
Mailing address
127 PICKERING LN, MECHANICSBURG, PA 17050-4129
(510) 258-1259
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
78873
CA
183500000X
Pharmacist
Primary
RP457846
PA
Other
Enumeration date
06/05/2019
Last updated
09/18/2023
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