Individual
RAGHUNATH SIDDAGANGAIAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
520 N 35TH ST, LOUISVILLE, KY 40212-2120
(502) 776-3765
(502) 776-3939
Mailing address
520 N 35TH ST, LOUISVILLE, KY 40212-2120
(502) 776-3765
(502) 776-3939
Taxonomy
Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
014406
KY
Other
Enumeration date
10/21/2020
Last updated
10/21/2020
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