Individual provider · NPI-1
Tulika Bhushan Bahukhandi
Pharmacist · Suwanee, GA
NPI number1336748557
StatusActive
Last updated in NPPESOct 19, 2020
Details
- NPI
- 1336748557
- Entity type
- Individual (NPI-1)
- Name
- Tulika Bhushan Bahukhandi
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 19, 2020
- Certification date
- Oct 14, 2020
- Last updated
- Oct 19, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 183500000X | Pharmacist | 026736 | GA | Yes |
| 183500000X | Pharmacist | RPH026736 | GA |
Practice location
3651 Peachtree PkwySuwanee, GA 30024-6034
Phone 770-418-2388
Mailing address
525 W Magnolia CirAlpharetta, GA 30005-8951
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