Individual
SAGAR RAJU VEGESNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
416 WARREN ST, ROXBURY, MA 02119-1831
(617) 541-0310
Mailing address
416 WARREN ST, ROXBURY, MA 02119-1831
(617) 541-0310
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH234740
MA
Other
Enumeration date
07/29/2013
Last updated
07/29/2013
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