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Prathima Kothapalli, Pharm.D

Pharmacist in Augusta, ME. Individual provider (NPI-1).

NPI number1366783201
StatusActive
Last updated in NPPESMar 1, 2013

Details

NPI
1366783201
Entity type
Individual (NPI-1)
Name
Prathima Kothapalli
Credential
Pharm.D
Sex
Female
Sole proprietor
No
Enumeration date
Mar 1, 2013
Last updated
Mar 1, 2013

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
183500000X PharmacistPS45410FLYes

Practice location

1 Va Ctr
Augusta, ME 04330-6719

Phone 207-623-8411

Mailing address

1 Va Ctr
Augusta, ME 04330-6719

Phone 207-623-8411

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