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NPI Code Detail

MEDICARE: RAJESWARA CHARY PINNOJI

MEDICARE: RAJESWARA CHARY PINNOJI
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacistRP00007729NM

General Provider Information

NPI Number : 1891101143
Entity Type Code : Individual
Provider Name (Legal Business Name) : RAJESWARA CHARY PINNOJI
Provider Business Mailing Address
First Line : 3245 E UNIVERSITY AVE
Second Line : APT 1012
City : LAS CRUCES
State : NM
Zip : 88011-9137
Country : US
Telephone Number : 318-344-1512
Fax Number : 575-546-6748
Provider Business Practice Location Address
First Line : 1021 E PINE ST
Second Line : WALMART
City : DEMING
State : NM
Zip : 88030-7009
Country : US
Telephone Number : 575-546-6746
Fax Number : 575-546-6748
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/08/2014
Last Update Date : 07/08/2014

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Directions to “ RAJESWARA CHARY PINNOJI ” Practice Location

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