Jayakrishna Kukkillaya, BPHARM

NPI 1346842077 · on the registry since 2020 · sole proprietor

Practice

Address: 2700 Mountaineer Blvd
South Charleston, WV 25309
Phone: (304) 766-1725
Fax: (304) 746-1727
Organisation at this address: National Vision, Inc.
Wal-Mart Stores East Lp
Wal-Mart Stores East, Lp.
Moore Vision Center North, Pllc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 5

Registry record

Primary taxonomy: Pharmacist
183500000X
Licence states on file: WV
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2020-11-09

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 West Virginia