Organization
REDDY MEDICAL ASSOCIATES PC
Active
Other names
Boonsboro Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RAM R NERAVETLA (PRESIDENT)
(804) 329-0077
Entity
Organization
Contact information
Practice address
4925 BOONSBORO RD, LYNCHBURG, VA 24503-2207
(434) 455-1211
(434) 455-1201
Mailing address
4925 BOONSBORO RD, LYNCHBURG, VA 24503-2207
(434) 455-1211
(434) 455-1201
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
0210004238
VA
3336C0003X
Community/Retail Pharmacy
Primary
0201004238
VA
3336C0004X
Compounding Pharmacy
0201004238
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0201004238
PHARMACY LICENSE
VA
Enumeration date
08/18/2008
Last updated
08/18/2008
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