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Srikanth Mudumba
Pharmacist in Clearlake, California
NPI 1962043174

Srikanth Mudumba is a Pharmacist based in Clearlake, CA. Srikanth Mudumba practices in Clearlake, CA. The NPI Number for Srikanth Mudumba is 1962043174 and holds a License No. 64289 (California).

The current practice location address for Srikanth Mudumba is 15230 Lakeshore Dr, Clearlake, CA and can be reached out via phone at 707-994-3141.

Location: 15230 Lakeshore Dr, Clearlake, CA, 95422-8107
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1962043174
Provider Name
Srikanth Mudumba
Credential
Provider Entity Type
Individual
Gender
Male
Address
15230 Lakeshore Dr, Clearlake, CA, 95422-8107
Phone Number
707-994-3141
Fax Number
Provider Enumeration Date
09/30/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
15230 Lakeshore Dr
City
Clearlake
State
California
Zip
95422-8107
Phone Number
707-994-3141
Fax Number
person
Provider Business Mailing Address Details
Address
15230 Lakeshore Dr
City
Clearlake
State
California
Zip
95422-8107
Phone Number
707-994-3141
Fax Number
person
Provider's Taxonomy Details 1
Type
Pharmacy Service Providers
Classification
Pharmacist
Speciality
-
Taxonomy
183500000X
License No.
64289 (California)
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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