Individual provider · Type 1 NPI

Venkata Gangadhar Bodduluri

Pharmacist · Fayetteville, NC

NPI number 1205092913 Active

Practice location

1072 Southern Ave
Fayetteville, NC 28306-1766

Fax (910) 484-3270

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Primary 183500000X20199 (NC)

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…

2 other providers at this address

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About NPI 1205092913

Venkata Gangadhar Bodduluri's National Provider Identifier is 1205092913, issued on Aug 1, 2008. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Fayetteville, NC. The record was last updated on Jun 9, 2009.