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Menaka Ravi Chandra Reddy

Pharmacist in Southfield, MI. Individual provider (NPI-1).

NPI number1366073363
StatusActive
Last updated in NPPESJan 28, 2020

Details

NPI
1366073363
Entity type
Individual (NPI-1)
Name
Mrs. Menaka Ravi Chandra Reddy
Sex
Female
Sole proprietor
Yes
Enumeration date
Jan 28, 2020
Certification date
Jan 28, 2020
Last updated
Jan 28, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
183500000X Pharmacist5302036773MIYes

Practice location

23881 Greenfield Rd
Southfield, MI 48075-3122

Phone 248-424-5002 · Fax 248-424-8982

Mailing address

3927 Mesa Dr
Troy, MI 48083-6510

Phone 586-354-6623

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