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Individual
VIDYA MALLADI
Active
Individual
VIDYA MALLADI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMACIST
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
52465
TX
183500000X
Pharmacist
Primary
S014741
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
52465
TEXAS STATE BOARD OF PHARMACY
TX
01
—
S014741
ARIZONA PHARMACIST LICENSE
AZ
Enumeration date
10/18/2010
Last updated
08/26/2026
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