Individual
MR. ESWAR REDDY MASIREDDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BPHARM
Contact information
Practice address
2081 S 4TH AVE, 28TH ST, YUMA, AZ 85364
(928) 328-1945
Mailing address
2045 S 14TH AVE, UNIT 80, YUMA, AZ 85364-6275
(928) 328-1945
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
S017188
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
D05980915
DRIVERS LICENSE
AZ
Enumeration date
01/15/2010
Last updated
01/21/2010
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