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Individual

MR. ARAVIND KUMAR REDDY KASIREDDY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
R.PH

Contact information

Practice address
9100 POCAHONTAS TRAIL, PROVIDENCE FORGE, VA 23140
(804) 966-2151
Mailing address
5024 HICKORY MEADOWS PLACE, GLEN ALLEN, VA 23059
(804) 966-2151

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0201001207
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0202207729
VA BOARD OF PHARMACY
VA
Enumeration date
06/15/2008
Last updated
08/13/2017
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