Vennam, Vijay

Vennam, Vijay is an sole proprietor health care provider with primary practice located at 2801 S 4Th Ave , Yuma AZ 85364-8125. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Vennam, Vijay can be contacted via phone (928) 344-1010.

Contact Information

Primary practice address
2801 S 4Th Ave Yuma AZ 85364-8125
Phone: (928) 344-1010
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X S017009 Arizona

Profile Details

NPI number 1528399490
LBN Legal business name Vennam, Vijay
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 15th, 2010
Last updated Jan 15th, 2010 - about 15 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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Identifiers

StateTypeNumberIssuer
All States NPI 1528399490 NPPES
Arizona Other D05868094 DRIVERS LICENCE

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