Individual
DIVYA REVURI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8560 ARGYLE FOREST BLVD, 0176, JACKSONVILLE, FL 32244
(847) 848-0641
Mailing address
8560 ARGYLE FOREST BLVD, 0176, JACKSONVILLE, FL 32244
(847) 848-0641
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PS52710
FL
Other
Enumeration date
12/09/2014
Last updated
12/09/2014
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