Provider Demographics
NPI:1417275561
Name:VUYYURU, SAI SANKAR (RPH)
Entity Type:Individual
Prefix:MR
First Name:SAI
Middle Name:SANKAR
Last Name:VUYYURU
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2504 TRACY LN
Mailing Address - Street 2:
Mailing Address - City:GILBERTSVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:19525-8301
Mailing Address - Country:US
Mailing Address - Phone:267-664-5029
Mailing Address - Fax:
Practice Address - Street 1:500 PENN ST STE B
Practice Address - Street 2:
Practice Address - City:READING
Practice Address - State:PA
Practice Address - Zip Code:19602-1085
Practice Address - Country:US
Practice Address - Phone:610-373-1800
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-05-13
Last Update Date:2014-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP440888183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist