Individual
SREELATHA KOMMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
101 COORS BLVD NW, ALBUQUERQUE, NM 87121-2016
(505) 831-3147
Mailing address
8820 BERNAL CT NE, ALBUQUERQUE, NM 87113-2582
(443) 910-1522
Taxonomy
Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
RP00010044
NM
Other
Enumeration date
10/26/2023
Last updated
11/06/2023
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