Provider Demographics
NPI:1033353578
Name:MAJETI, VENKATA SATYANARAYANA (PHARMACIST)
Entity type:Individual
Prefix:MR
First Name:VENKATA
Middle Name:SATYANARAYANA
Last Name:MAJETI
Suffix:
Gender:M
Credentials:PHARMACIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2701 S CEDAR ST
Mailing Address - Street 2:
Mailing Address - City:LANSING
Mailing Address - State:MI
Mailing Address - Zip Code:48910-3028
Mailing Address - Country:US
Mailing Address - Phone:517-272-9190
Mailing Address - Fax:
Practice Address - Street 1:2701 S CEDAR ST
Practice Address - Street 2:
Practice Address - City:LANSING
Practice Address - State:MI
Practice Address - Zip Code:48910-3028
Practice Address - Country:US
Practice Address - Phone:517-272-9190
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-04-28
Last Update Date:2009-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5302035114183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist