Sameera Chandra Surapaneni
Pharmacist in Ballwin, MO. Individual provider (NPI-1).
NPI number1710690573
StatusActive
Last updated in NPPESJun 9, 2023
Details
- NPI
- 1710690573
- Entity type
- Individual (NPI-1)
- Name
- Sameera Chandra Surapaneni
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Dec 26, 2022
- Certification date
- Jun 9, 2023
- Last updated
- Jun 9, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 183500000X | Pharmacist | 2022039206 | MO | Yes |
Practice location
15025 Manchester RdBallwin, MO 63011-4626
Phone 636-227-9436
Mailing address
14455 Greencastle Dr Apt 5Chesterfield, MO 63017-8231
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All 47 Pharmacist providers in Ballwin · All 769 providers in Ballwin
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