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NPI Code Detail

MEDICARE: MR. HARIHARAPRASAD RAO REDYSHETTY RPH

MEDICARE: MR. HARIHARAPRASAD RAO REDYSHETTY RPH
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
1183500000XPharmacist5302036344MI

General Provider Information

NPI Number : 1700160967
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. HARIHARAPRASAD RAO REDYSHETTY RPH
Provider Business Mailing Address
First Line : 2445 ANDOVER BLVD
Second Line :
City : ROCHESTER HILLS
State : MI
Zip : 48306-4937
Country : US
Telephone Number : 248-275-5635
Fax Number :
Provider Business Practice Location Address
First Line : 450 N PARK BLVD
Second Line :
City : LAKE ORION
State : MI
Zip : 48362-3152
Country : US
Telephone Number : 248-814-7315
Fax Number : 278-814-7364
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/06/2011
Last Update Date : 10/06/2011

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Directions to “ MR. HARIHARAPRASAD RAO REDYSHETTY RPH” Practice Location

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