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Individual

MR. CHENCHU R POPURI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
RPH

Contact information

Practice address
501 S 29TH ST, HARRISBURG, PA 17104-2156
(717) 233-5344
(717) 236-5095
Mailing address
501 S 29TH ST, HARRISBURG, PA 17104-2156
(717) 233-5344

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP441737
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
RP441737
STATE LICENSE
PA
Enumeration date
03/15/2011
Last updated
03/15/2011
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