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NPI Code Detail

MEDICARE: ANUSHA ANNAPUREDDY

MEDICARE: ANUSHA ANNAPUREDDY
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
1183500000XPharmacist0202214278VA

General Provider Information

NPI Number : 1053781302
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANUSHA ANNAPUREDDY
Provider Business Mailing Address
First Line : 5668 MAGNOLIA RUN CIR
Second Line : APT 101
City : VIRGINIA BEACH
State : VA
Zip : 23464-1576
Country : US
Telephone Number : 413-552-9698
Fax Number :
Provider Business Practice Location Address
First Line : 4245 HOLLAND RD
Second Line :
City : VIRGINIA BEACH
State : VA
Zip : 23452-1904
Country : US
Telephone Number : 757-474-2386
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/30/2015
Last Update Date : 09/30/2015

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Directions to “ ANUSHA ANNAPUREDDY ” Practice Location

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