Individual
GURU BOGGARAPU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
R.PH
Contact information
Practice address
2435 E BASELINE RD, PHOENIX, AZ 85042-7004
(602) 232-2982
Mailing address
15801 S 48TH ST, APT 1017, PHOENIX, AZ 85048-0807
(480) 235-8219
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
S014629
AZ
Other
Enumeration date
01/18/2014
Last updated
01/18/2014
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