Organization
INNOMINDS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SRINIVASULU MANDAVA RPH (PHARMACY MANAGER)
(509) 899-6021
Entity
Organization
Contact information
Practice address
1103 S 72ND AVE STE 100, YAKIMA, WA 98908-1913
(509) 823-1653
(509) 823-1654
Mailing address
PO BOX 8201, YAKIMA, WA 98908-0201
(509) 823-1653
(509) 823-1654
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
—
—
Other
Enumeration date
03/10/2026
Last updated
03/10/2026
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