Individual
MR. THIRUPATHI REDDY DONTAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
161 NE RIFLE RANGE ST, APT#58, ROSEBURG, OR 97470-5914
(541) 672-4896
Mailing address
161 NE RIFLE RANGE ST, APT#58, ROSEBURG, OR 97470-5914
(541) 672-4896
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH-00124441
OR
Other
Enumeration date
05/15/2011
Last updated
05/15/2011
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