Provider Demographics
NPI:1942543715
Name:NALAGORLA, RAMAKRISHNA (RPH)
Entity Type:Individual
Prefix:MR
First Name:RAMAKRISHNA
Middle Name:
Last Name:NALAGORLA
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 1:7126 BERGENLINE AVE
Mailing Address - Street 2:
Mailing Address - City:NORTH BERGEN
Mailing Address - State:NJ
Mailing Address - Zip Code:07047-5415
Mailing Address - Country:US
Mailing Address - Phone:201-668-1888
Mailing Address - Fax:
Practice Address - Street 1:7126 BERGENLINE AVE
Practice Address - Street 2:
Practice Address - City:NORTH BERGEN
Practice Address - State:NJ
Practice Address - Zip Code:07047-5415
Practice Address - Country:US
Practice Address - Phone:201-668-1888
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-03-31
Last Update Date:2013-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ28RI03276500183500000X
NY056495-1183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist