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Balamathew Pudota
NPI 1255684643 · on the registry since 2012 · sole proprietor
Practice
- Address
- 502 S Ballenger Hwy
Flint, MI 48532 - Phone
- (810) 424-9270
- Organisation at this address
- Walgreen Co
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 6
Registry record
- Primary taxonomy
- Pharmacist
183500000X
- Licence states on file
- MI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2012-10-23
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan