Individual provider · Type 1 NPI

Sai Krishna Venkata Gangavalli, PHARM. D.

Pharmacist · Irving, TX

NPI number 1467054767 Active

Practice location

1635 Marketplace Blvd
Irving, TX 75063

Call (214) 574-4522 Map

Fax (214) 574-5068

Mailing address

1635 Market Pl
Irving, TX 75063-7239

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Primary 183500000X54016 (TX)

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 1467054767

Sai Krishna Venkata Gangavalli, PHARM. D.'s National Provider Identifier is 1467054767, issued on Nov 11, 2020. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Irving, TX. The record was last updated on Nov 11, 2020.