Individual provider · Type 1 NPI

Anu Chetticheril Raju

Pharmacist · Lake Wales, FL

NPI number 1275139396 Active

Practice location

500 S 11th St
Lake Wales, FL 33853-4901

Fax (863) 678-1353

Mailing address

2808 Vintage View Loop
Lakeland, FL 33812-4064

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Primary 183500000XPS43535 (FL)

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 1275139396

Anu Chetticheril Raju's National Provider Identifier is 1275139396, issued on Dec 5, 2020. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Lake Wales, FL. The record was last updated on Dec 5, 2020.