Individual provider · Type 1 NPI

Ravi Kiran Bodavula, RPH

Pharmacist · Fleming Island, FL

NPI number 1699056358 Active

Practice location

6945 Highway 17
Fleming Island, FL 32003-9316

Mailing address

5940 Shadehill Rd
Jacksonville, FL 32258-5192

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Primary 183500000XPS40423 (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…

2 other providers at this address

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About NPI 1699056358

Ravi Kiran Bodavula, RPH's National Provider Identifier is 1699056358, issued on Sep 7, 2011. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Fleming Island, FL. The record was last updated on Oct 10, 2011.