Individual
MR. VENKATA PRAVIN BOMMISETTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMACIST
Contact information
Practice address
601 E 7TH ST, ODESSA, TX 79761-4509
(432) 299-2995
(432) 299-0070
Mailing address
601 E 7TH ST, ODESSA, TX 79761-4509
(432) 299-2995
(432) 299-0070
Taxonomy
Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
46774
TX
Other
Enumeration date
12/19/2020
Last updated
12/19/2020
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