Individual
PRASADI D EDIRIPPULIGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
4700 LAS VEGAS BLVD N, NELLIS AFB, NV 89191-6600
(702) 653-3201
Mailing address
4700 LAS VEGAS BLVD N, NELLIS AFB, NV 89191-6600
(702) 653-3202
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
17929
NV
Other
Enumeration date
11/09/2019
Last updated
11/18/2019
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