Trivikram Kanumuri
Pharmacist in Keansburg, NJ. Individual provider (NPI-1).
NPI number1922431956
StatusActive
Last updated in NPPESAug 13, 2013
Details
- NPI
- 1922431956
- Entity type
- Individual (NPI-1)
- Name
- Mr. Trivikram Kanumuri
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Aug 13, 2013
- Last updated
- Aug 13, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 183500000X | Pharmacist | 28RI03126400 | NJ | Yes |
| 183500000X | Pharmacist | 058258 | NY |
Practice location
199 Main StKeansburg, NJ 07734-1734
Phone 732-787-1414
Mailing address
199 Main StKeansburg, NJ 07734-1734
Phone 732-787-1414
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All 7 Pharmacist providers in Keansburg · All 72 providers in Keansburg
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