Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Gangadhar Revuluri, PHARMACIST

Individual provider Pharmacist · NPI 1174755995

Gangadhar Revuluri, PHARMACIST is a Pharmacist in San Antonio, Texas. Practices as a sole proprietor. Licensed in North Carolina.

Licensed in
NC
In the registry since
2009
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Practice location Address checks out

2829 Babcock Rd Ste 120
San Antonio, TX 78229-6009
Phone: (210) 617-4311
Fax: (210) 617-4312
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence 20196 (NC)

Record details

NPI number1174755995
Entity typeIndividual (Type 1)
GenderMale
Credentials PHARMACIST
Sole proprietorYes
NPI enumeratedAugust 12, 2009
Last updated in NPPESJuly 21, 2023
Certification dateJuly 21, 2023

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