Individual
MOUNICA B NAYAKUDUGARI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
502 RAILROAD ST, ST JOHNSBURY, VT 05819-1633
(802) 748-5210
Mailing address
661 LAPORTE RD # 2, MORRISVILLE, VT 05661-8324
(732) 881-2512
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0330134725
VT
Other
Enumeration date
09/21/2022
Last updated
09/21/2022
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