NPI 1023752516

Maithili Manchukonda, PHARMACIST

Practitioner Pharmacist Camden, NJ

Practice location

Address: 949 N 25th St, Camden, NJ 08105-3823
Phone: (856) 963-3000
Fax: (856) 963-2000
Mailing address: 15 Windsor Rd, Belle Mead, NJ 08502-5848

Registered specialties

Pharmacist Primary

Pharmacy Service Providers Taxonomy 183500000X Licence 28RI03182400 (NJ)

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Registry record

NPI: 1023752516
Entity type: Individual
Sex (as registered): Female
NPI issued: 21 Apr 2022
Record last updated: 21 Apr 2022

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.