Individual
ANITHA RAO MANDAVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
RT 73 &113 4118 SKIPPACK PIKE, SKIPPACK, PA 19474
(610) 584-6400
(610) 584-4271
Mailing address
PO BOX 197, RT 73 &113 4118 SKIPPACK PIKE, SKIPPACK, PA 19474
(610) 584-6400
(610) 584-4271
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP446284
PA
Other
Enumeration date
03/23/2016
Last updated
03/23/2016
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