Pranavi Mandava
Pharmacist in Union, NJ. Individual provider (NPI-1).
NPI number1366043366
StatusActive
Last updated in NPPESNov 5, 2020
Details
- NPI
- 1366043366
- Entity type
- Individual (NPI-1)
- Name
- Pranavi Mandava
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Nov 5, 2020
- Certification date
- Nov 2, 2020
- Last updated
- Nov 5, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 183500000X | Pharmacist | 28RI04104000 | NJ | Yes |
Practice location
327 Chestnut StUnion, NJ 07083-9426
Phone 908-686-1212
Mailing address
327 Chestnut StUnion, NJ 07083-9426
Phone 908-686-1212
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