Provider Demographics
NPI:1538468327
Name:NARRA, MURALIKRISHNA
Entity Type:Individual
Prefix:
First Name:MURALIKRISHNA
Middle Name:
Last Name:NARRA
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12 BLOCK AVE
Mailing Address - Street 2:APT 41
Mailing Address - City:CLAREMONT
Mailing Address - State:NH
Mailing Address - Zip Code:03743-5149
Mailing Address - Country:US
Mailing Address - Phone:603-306-2034
Mailing Address - Fax:
Practice Address - Street 1:2 CHESTER RD
Practice Address - Street 2:SUITE 25
Practice Address - City:SPRINGFIELD
Practice Address - State:VT
Practice Address - Zip Code:05156-2957
Practice Address - Country:US
Practice Address - Phone:802-885-5311
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-03-20
Last Update Date:2011-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT033.0003799183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist