Individual
LALITHA PRASAD THUNGATHURTHI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4368 CHANTILLY SHOPPING CENTER DR, CHANTILLY, VA 20151-4016
(571) 392-3087
Mailing address
4368 CHANTILLY SHOPPING CENTER DR, CHANTILLY, VA 20151-4016
(703) 995-5068
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0202208352
VA
Other
Enumeration date
11/13/2023
Last updated
11/13/2023
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