Individual
ANNAPURNA ADIGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
351 N EDWARDS BLVD, LAKE GENEVA, WI 53147-4563
(262) 248-7885
Mailing address
351 N EDWARDS BLVD, LAKE GENEVA, WI 53147-4563
(262) 248-7885
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
14535-040
WI
Other
Enumeration date
11/11/2011
Last updated
11/11/2011
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