Individual
AMRITA GEDDAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3950 S AVON DR, NEW BERLIN, WI 53151-6211
(414) 640-4322
Mailing address
3950 S AVON DR, NEW BERLIN, WI 53151-6211
(414) 640-4322
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
22334
WI
Other
Enumeration date
06/24/2024
Last updated
06/24/2024
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