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Individual

MR. PRAKASH RAO JANAGAMA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
1 GLENNWOOD DR, NEWARK, DE 19702-3765
(732) 668-8783
Mailing address
1 GLENNWOOD DR, NEWARK, DE 19702-3765
(732) 668-8783

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
17650
MD
183500000X
Pharmacist
Primary
28RI03210800
NJ

Other

Enumeration date
05/20/2013
Last updated
05/20/2013
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