Mr. Ravikumar Mamidela
Mr. Ravikumar Mamidela is a Pharmacist in Bronx, New York. Licensed in New York. Registered with an NPI since 2007.
- Licensed in
- NY
- In the registry since
- 2007
Practice location Address checks out
200 E 167 Street Lumit PharmacyBronx, NY 10456
Phone: (718) 866-0629
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Pharmacist (primary) | Taxonomy 183500000X · Licence 048102 (NY) |
|---|
Record details
| NPI number | 1396926051 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | November 21, 2007 |
| Last updated in NPPES | February 27, 2017 |
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