Individual provider · Type 1 NPI

Gangadar Gubba, PharmD

Pharmacist · Kennewick, WA

NPI number 1114474103 Active

Practice location

2720 S Quillan Street, Wal-Mart Pharmacy (store: 2101)
Kennewick, WA 99337-9702

Fax (509) 585-1413

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Primary 183500000XPH60128771 (WA)
Pharmacist 183500000XRPH-0012606 (OR)

Pharmacist: An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage…

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About NPI 1114474103

Gangadar Gubba, PharmD's National Provider Identifier is 1114474103, issued on Sep 7, 2016. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Kennewick, WA. The record was last updated on Sep 7, 2016.