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Venkata Gangadhar Bodduluri
Pharmacist in Fayetteville, North Carolina
NPI 1205092913

Venkata Gangadhar Bodduluri is a Pharmacist based in Fayetteville, NC. Venkata Gangadhar Bodduluri practices in Fayetteville, NC. The NPI Number for Venkata Gangadhar Bodduluri is 1205092913 and holds a License No. 20199 (North Carolina).

The current practice location address for Venkata Gangadhar Bodduluri is 1072 Southern Ave, Fayetteville, NC and can be reached out via phone at 910-484-0159 and via fax at 910-484-3270.

Location: 1072 Southern Ave, Fayetteville, NC, 28306-1766
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1205092913
Provider Name
Venkata Gangadhar Bodduluri
Credential
Provider Entity Type
Individual
Gender
Male
Address
1072 Southern Ave, Fayetteville, NC, 28306-1766
Phone Number
910-484-0159
Fax Number
910-484-3270
Provider Enumeration Date
08/01/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1072 Southern Ave
City
Fayetteville
State
North Carolina
Zip
28306-1766
Phone Number
910-484-0159
Fax Number
910-484-3270
person
Provider Business Mailing Address Details
Address
1072 Southern Ave
City
Fayetteville
State
North Carolina
Zip
28306-1766
Phone Number
910-484-0159
Fax Number
910-484-3270
person
Provider's Taxonomy Details 1
Type
Pharmacy Service Providers
Classification
Pharmacist
Speciality
-
Taxonomy
183500000X
License No.
20199 (North Carolina)
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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