NPI 1003108796

Ramagopal Vudathu

Practitioner Pharmacist Trevose, PA

Practice location

Address: 3800 Horizon Blvd STE 103, Trevose, PA 19053-4968
Phone: (215) 494-9403
Fax: (215) 357-2129
Mailing address: 3800 Horizon Blvd, Trevose, PA 19053-4968

Registered specialties (2)

Pharmacist Primary

Pharmacy Service Providers Taxonomy 183500000X Licence RP450406 (PA)

Other Pharmacist providers in Pennsylvania →

Pharmacist

Pharmacy Service Providers Taxonomy 183500000X Licence RP0007322 (WV)

Registry record

NPI: 1003108796
Entity type: Individual
Sex (as registered): Male
NPI issued: 12 May 2011
Record last updated: 8 Jun 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.