Individual provider · NPI-1

Kavya Balaji

Pharmacist · Suwanee, GA

NPI number1053150573
StatusActive
Last updated in NPPESMay 23, 2024

Details

NPI
1053150573
Entity type
Individual (NPI-1)
Name
Kavya Balaji
Sex
Female
Sole proprietor
No
Enumeration date
May 23, 2024
Certification date
May 23, 2024
Last updated
May 23, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
183500000X Pharmacistrph033792GAYes

Practice location

3660 Weston Ave
Suwanee, GA 30024-4480

Phone 404-488-8232

Mailing address

3660 Weston Ave
Suwanee, GA 30024-4480

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