Ramachandra Reddy Bollavaram, Rph
Pharmacist in Snellville, GA. Individual provider (NPI-1).
NPI number1629678149
StatusActive
Last updated in NPPESOct 26, 2020
Details
- NPI
- 1629678149
- Entity type
- Individual (NPI-1)
- Name
- Mr. Ramachandra Reddy Bollavaram
- Credential
- Rph
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Oct 26, 2020
- Certification date
- Oct 26, 2020
- Last updated
- Oct 26, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 183500000X | Pharmacist | RPH019829 | GA | Yes |
Practice location
1550 Scenic Hwy NSnellville, GA 30078-2235
Phone 770-979-1911 · Fax 770-979-3258
Mailing address
2224 Glenmore LnSnellville, GA 30078-5650
Phone 404-935-2898
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