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Shyam Sunder Mudigonda
Pharmacist in Newark, New Jersey
NPI 1306241757

Shyam Sunder Mudigonda is a Pharmacist based in Newark, NJ. Shyam Sunder Mudigonda practices in Newark, NJ. The NPI Number for Shyam Sunder Mudigonda is 1306241757 and holds a License No. 28RI03189800 (New Jersey).

The current practice location address for Shyam Sunder Mudigonda is 800 Broad St, Newark, NJ and can be reached out via phone at 973-596-1800.

Location: 800 Broad St, Newark, NJ, 07102-2760
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1306241757
Provider Name
Shyam Sunder Mudigonda
Credential
Provider Entity Type
Individual
Gender
Male
Address
800 Broad St, Newark, NJ, 07102-2760
Phone Number
973-596-1800
Fax Number
Provider Enumeration Date
10/28/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
800 Broad St
City
Newark
State
New Jersey
Zip
07102-2760
Phone Number
973-596-1800
Fax Number
person
Provider Business Mailing Address Details
Address
800 Broad St
City
Newark
State
New Jersey
Zip
07102-2760
Phone Number
973-596-1800
Fax Number
person
Provider's Taxonomy Details 1
Type
Pharmacy Service Providers
Classification
Pharmacist
Speciality
-
Taxonomy
183500000X
License No.
28RI03189800 (New Jersey)
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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