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Individual
MR. SRINIVASA RAO MALLADI
Active
Individual
MR. SRINIVASA RAO MALLADI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
R.PH
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
056502-1
NY
183500000X
Pharmacist
Primary
28RI03275500
NJ
Other
Enumeration date
07/19/2012
Last updated
07/20/2012
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