Individual provider · Type 1 NPI
Balamathew R. Pudota
Pharmacist · Flint, MI
Practice location
502 S Ballenger Hwy
Flint, MI 48532-3640
Mailing address
2160 E Hill Rd, Apt #41
Grand Blanc, MI 48439-5183
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pharmacist Primary | 183500000X | 5302039319 (MI) |
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…
5 other providers at this address
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- Norma Jean Skoglund, RPHPharmacist Flint, MI NPI 1033327382
- Gizelle HaddadPharmacist Flint, MI NPI 1033756499
- Yusuf AftabPharmacist Flint, MI NPI 1053000398
- Mark Mansour Saleh, PharmDPharmacist Flint, MI NPI 1063150696
About NPI 1255684643
Balamathew R. Pudota's National Provider Identifier is 1255684643, issued on Oct 23, 2012. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Flint, MI. The record was last updated on Oct 23, 2012.