Individual provider · Type 1 NPI

Srikanth Mudumba

Pharmacist · Clearlake, CA

NPI number 1962043174 Active

Practice location

15230 Lakeshore Dr
Clearlake, CA 95422-8107

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Primary 183500000X64289 (CA)

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 1962043174

Srikanth Mudumba's National Provider Identifier is 1962043174, issued on Sep 30, 2019. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Clearlake, CA. The record was last updated on Sep 30, 2019.