Most Relevant Information
Provider Data
| NPI Number: | 1003385246 |
| Provider Name: | KEVINDEEP RAJU PHARMD |
| Entity Type: | Individual |
| Taxonomy Code: | 183500000X |
| Specialty: | Pharmacist |
| License Number: | 03438263 |
Most Important Dates
| Enumeration Date: | 11/16/2018 |
| Last Updated: | 11/16/2018 |
Provider Practice Location
615 FULTON ST
PORT CLINTON
OH
434522001
Practice Location Phone/Fax
| Phone: | 4197324009 |
| Fax: | 4197324011 |
Provider Mailing Location
4288 MORGAN PL
PERRYSBURG
OH
435512196
Provider Mailing Phone/Fax
| Phone: | 8012349773 |
| Fax: |