Penumudi, Mallikajruna Rao

Penumudi, Mallikajruna Rao is an individual health care provider with primary practice located at 975 S Babcock St , Melbourne FL 32901-1852. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Penumudi, Mallikajruna Rao can be contacted via phone (321) 723-4664.

Contact Information

Primary practice address
975 S Babcock St Melbourne FL 32901-1852
Phone: (321) 723-4664
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X PS40838 Florida
Pharmacy Service Providers / Pharmacist 183500000X RPH022513 Georgia
Pharmacy Service Providers / Pharmacist 183500000X PR5165 Maine
Pharmacy Service Providers / Pharmacist 183500000X 3383 New Hampshire

Profile Details

NPI number 1841418126
LBN Legal business name Penumudi, Mallikajruna Rao
Credentials M.S
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 23rd, 2007
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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