NPI 1851743256

Raja Idupulapati

Practitioner Pharmacist Shelburne, VT

Practice location

Address: 47 Executive Dr, Shelburne, VT 05482-7142
Phone: (802) 985-0008
Fax: (802) 985-0011
Mailing address: 388 Shelburne Rd APT 102, Burlington, VT 05401-6946

Registered specialties

Pharmacist Primary

Pharmacy Service Providers Taxonomy 183500000X Licence 033.0003804 (VT)

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Registry record

NPI: 1851743256
Entity type: Individual
Sex (as registered): Female
NPI issued: 8 Jul 2016
Record last updated: 8 Jul 2016

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.