Individual
PRITHVI THADIKONDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
1407 FAIRFIELD AVE, BRIDGEPORT, CT 06605-1928
(203) 367-4571
Mailing address
77 S POWDER MILL RD, MORRIS PLAINS, NJ 07950-1264
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0016837
CT
Other
Enumeration date
12/12/2024
Last updated
12/12/2024
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