Individual
RADHIKA CHENNAMANENI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
495 FLATBUSH AVE, HARTFORD, CT 06106-3601
(860) 953-0725
(860) 953-0822
Mailing address
45 RUGBY LN, SOUTH WINDSOR, CT 06074-4268
(413) 230-0124
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0011783
CT
Other
Enumeration date
01/23/2018
Last updated
01/23/2018
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