Individual
ASHA REDDY THADISINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM D
Contact information
Practice address
525 COUNTY ROAD 515, VERNON, NJ 07462
(973) 764-6611
Mailing address
20 NORMANDY CT, KINNELON, NJ 07405-2977
(901) 262-9380
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
28RI03503300
NJ
Other
Enumeration date
08/30/2012
Last updated
08/30/2012
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