Individual
GURUDAS HAMPAPURAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
106 MARKET PLACE CIR, GEORGETOWN, KY 40324-7400
(859) 552-0749
(859) 317-6079
Mailing address
1721 IRON LOOP PATH, GEORGETOWN, KY 40324-8098
(859) 552-0749
Taxonomy
Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
014293
KY
Other
Enumeration date
01/30/2020
Last updated
01/30/2020
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