Provider Demographics
NPI:1831497742
Name:AVULA, RAVISANKARA R
Entity Type:Individual
Prefix:
First Name:RAVISANKARA
Middle Name:R
Last Name:AVULA
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 1:2711 JONES FRANKLIN RD
Mailing Address - Street 2:
Mailing Address - City:CARY
Mailing Address - State:NC
Mailing Address - Zip Code:27518-9297
Mailing Address - Country:US
Mailing Address - Phone:919-851-1418
Mailing Address - Fax:919-851-4828
Practice Address - Street 1:2703 JONES FRANKLIN RD STE 104
Practice Address - Street 2:
Practice Address - City:CARY
Practice Address - State:NC
Practice Address - Zip Code:27518-7172
Practice Address - Country:US
Practice Address - Phone:919-758-8505
Practice Address - Fax:919-703-0418
Is Sole Proprietor?:No
Enumeration Date:2011-03-02
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC18809183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC18809OtherNC BOARD OF PHARMACY