Individual
CHARUMATHY VIVEK NARRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2425 CLARIBEL RD, T2096, RIVERBANK, CA 95367-9456
(209) 863-1277
(209) 863-1277
Mailing address
2425 CLARIBEL RD, T2096, RIVERBANK, CA 95367-9456
(209) 863-1277
(209) 863-1277
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
62326
CA
Other
Enumeration date
06/10/2011
Last updated
06/10/2011
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