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Individual

MILLEN REDDA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
5101 DUKE ST, ALEXANDRIA, VA 22304-2905
(703) 823-7430
Mailing address
5101 DUKE ST, ALEXANDRIA, VA 22304-2905
(703) 823-7430

Taxonomy

Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
0202213871
VA

Other

Enumeration date
12/03/2020
Last updated
12/03/2020
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