MEDICARE: MRS. RADHIKA G ALURI PHARMACIST

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	116953	MN

General Provider Information

NPI Number	:	1033495718
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. RADHIKA G ALURI PHARMACIST

Provider Business Mailing Address
First Line	:	3299 CANTON RD
Second Line	:
City	:	MARIETTA
State	:	GA
Zip	:	30066-3833
Country	:	US
Telephone Number	:	770-218-8588
Fax Number	:	770-218-7797

Provider Business Practice Location Address
First Line	:	3299 CANTON RD
Second Line	:
City	:	MARIETTA
State	:	GA
Zip	:	30066-3833
Country	:	US
Telephone Number	:	770-218-8588
Fax Number	:	770-218-7797

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/26/2011
Last Update Date	:	12/23/2022

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