Individual provider · NPI-1

Prathusha Grace Bethala

Pharmacist · The Woodlands, TX

NPI number1902621469
StatusActive
Last updated in NPPESNov 20, 2024

Details

NPI
1902621469
Entity type
Individual (NPI-1)
Name
Prathusha Grace Bethala
Sex
Female
Sole proprietor
No
Enumeration date
Nov 20, 2024
Certification date
Nov 20, 2024
Last updated
Nov 20, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
183500000X Pharmacist74998TXYes

Practice location

8000 Research Forest Dr Ste 100
The Woodlands, TX 77382-1506

Phone 281-292-3861

Mailing address

17915 Camp Cove Dr
Cypress, TX 77429-7657

Phone 203-503-1518

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