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Srinivasa Rao Komirisetty
Pharmacist in Jacksonville, Florida
NPI 1164700605

Srinivasa Rao Komirisetty is a Pharmacist based in Jacksonville, FL. Srinivasa Rao Komirisetty practices in Jacksonville, FL. The NPI Number for Srinivasa Rao Komirisetty is 1164700605 and holds a License No. 055526-1 (Florida).

The current practice location address for Srinivasa Rao Komirisetty is 10010 Belle Rive Blvd Apt 510, Jacksonville, FL and can be reached out via phone at 409-782-2402.

Location: 10010 Belle Rive Blvd Apt 510, Jacksonville, FL, 32256-9519
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1164700605
Provider Name
Srinivasa Rao Komirisetty
Credential
Provider Entity Type
Individual
Gender
Male
Address
10010 Belle Rive Blvd Apt 510, Jacksonville, FL, 32256-9519
Phone Number
409-782-2402
Fax Number
Provider Enumeration Date
08/02/2011
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
055526-1 05 NY
institution
Provider Business Practice Location Address Details
Address
10010 Belle Rive Blvd Apt 510
City
Jacksonville
State
Florida
Zip
32256-9519
Phone Number
409-782-2402
Fax Number
person
Provider Business Mailing Address Details
Address
10010 Belle Rive Blvd Apt 510
City
Jacksonville
State
Florida
Zip
32256-9519
Phone Number
409-782-2402
Fax Number
person
Provider's Taxonomy Details 1
Type
Pharmacy Service Providers
Classification
Pharmacist
Speciality
-
Taxonomy
183500000X
License No.
055526-1 (New York)
Definition
An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.
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