Individual
AMARNATH REDDY MALLADI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
900 WALMART WAY, MIDLOTHIAN, VA 23113-2600
(804) 378-2326
Mailing address
2031 CREEKBROOK DR, MIDLOTHIAN, VA 23113-2651
(804) 787-0964
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0202211388
VA
Other
Enumeration date
10/29/2020
Last updated
10/29/2020
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