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Individual

ANIL GOTTIMUKKALA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
RPH

Contact information

Practice address
4031 EAST HYW 83, RIO GRANDECITY, TX 78582
(956) 487-0905
(956) 488-8754
Mailing address
4031 EAST HYW 83, RIO GRANDECITY, TX 78582
(956) 487-0905
(956) 488-8754

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
44017
TX

Other

Enumeration date
09/02/2010
Last updated
09/02/2010
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