Sanjeeva Reddy Avuthu, rph
Pharmacist in Corona, NY. Individual provider (NPI-1).
NPI number1144404336
StatusActive
Last updated in NPPESJan 3, 2023
Details
- NPI
- 1144404336
- Entity type
- Individual (NPI-1)
- Name
- Sanjeeva Reddy Avuthu
- Credential
- rph
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Dec 24, 2007
- Certification date
- Jan 3, 2023
- Last updated
- Jan 3, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 183500000X | Pharmacist | 048522 | NY | Yes |
Practice location
5822 99th StCorona, NY 11368-4306
Phone 929-463-3147 · Fax 929-463-3148
Mailing address
5822 99th StCorona, NY 11368-4306
Phone 929-463-3147 · Fax 929-463-3148
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