New Jersey
Division of Consumer Affairs
Bhanuprakash Mamidi
Pharmacy - Immunization Approval
License number
28RJ02915
Date granted
11/30/2010
Date expires
04/30/2015
Class
Pharmacy - Immunization Approval
Status
Active
licensingnj.com
ID 9608091
LAST UPDATED 2026-05-27 20:54:38 UTC
LAST UPDATED 2026-05-27 20:54:38 UTC
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