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Kishore Perumandla
Pharmacist in Lake Havasu City, Arizona
NPI 1730492703

Kishore Perumandla is a Pharmacist based in Lake Havasu City, AZ. Kishore Perumandla practices in Lake Havasu City, AZ. The NPI Number for Kishore Perumandla is 1730492703 and holds a License No. S016413 (Arizona).

The current practice location address for Kishore Perumandla is 25 Lake Havasu Ave S, Lake Havasu City, AZ and can be reached out via phone at 928-453-2808 and via fax at 928-453-2619. You can also correspond with Kishore Perumandla through the mailing address at 25 LAKE HAVASU AVE S, LAKE HAVASU CITY, AZ - 86403-6565 (mailing address contact number: 928-453-2808).

Location: 25 Lake Havasu Ave S, Lake Havasu City, AZ, 86403-6565
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1730492703
Provider Name
Kishore Perumandla
Credential
Provider Entity Type
Individual
Gender
Male
Address
25 Lake Havasu Ave S, Lake Havasu City, AZ, 86403-6565
Phone Number
928-453-2808
Fax Number
928-453-2619
Provider Enumeration Date
07/20/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
25 Lake Havasu Ave S
City
Lake Havasu City
State
Arizona
Zip
86403-6565
Phone Number
928-453-2808
Fax Number
928-453-2619
person
Provider Business Mailing Address Details
Address
25 Lake Havasu Ave S
City
Lake Havasu City
State
Arizona
Zip
86403-6565
Phone Number
928-453-2808
Fax Number
928-453-2619
person
Provider's Taxonomy Details 1
Type
Pharmacy Service Providers
Classification
Pharmacist
Speciality
-
Taxonomy
183500000X
License No.
S016413 (Arizona)
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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