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

Individual provider Pharmacist · NPI 1205092913

Venkata Gangadhar Bodduluri is a Pharmacist in Fayetteville, North Carolina. Licensed in North Carolina. Registered with an NPI since 2008.

Licensed in
NC
In the registry since
2008
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Practice location Address checks out

1072 Southern Ave
Fayetteville, NC 28306-1766
Phone: (910) 484-0159
Fax: (910) 484-3270
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence 20199 (NC)

Record details

NPI number1205092913
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedAugust 1, 2008
Last updated in NPPESJune 9, 2009

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