Individual
PRATHIMA KOTHAPALLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM.D
Contact information
Practice address
1 VA CTR, AUGUSTA, ME 04330-6719
(207) 623-8411
Mailing address
1 VA CTR, AUGUSTA, ME 04330-6719
(207) 623-8411
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PS45410
FL
Other
Enumeration date
03/01/2013
Last updated
03/01/2013
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