NPI 1003172420

Srinivasa Rao Tummala, PHD

Practitioner Pharmacist Shelton, WA

Practice location

Address: 301 E Wallace Kneeland Blvd, Shelton, WA 98584-2985
Phone: (360) 432-5373
Fax: (360) 432-5367

Registered specialties

Pharmacist Primary

Pharmacy Service Providers Taxonomy 183500000X Licence PH00072269 (WA)

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Registry record

NPI: 1003172420
Entity type: Individual
Sex (as registered): Male
NPI issued: 10 Apr 2012
Record last updated: 10 Apr 2012

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.