Perumandla, Kishore

Perumandla, Kishore is an individual health care provider with primary practice located at 25 Lake Havasu Ave S , Lake Havasu City AZ 86403-6565. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Perumandla, Kishore can be contacted via phone (928) 453-2808.

Contact Information

Primary practice address
25 Lake Havasu Ave S Lake Havasu City AZ 86403-6565
Phone: (928) 453-2808
Fax: (928) 453-2619
Website:
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Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X S016413 Arizona

Profile Details

NPI number 1730492703
LBN Legal business name Perumandla, Kishore
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 20th, 2010
Last updated Jul 20th, 2010 - about 16 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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