Individual
ANUPAMA POTINENI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7535 N GREENBAY RD, KENOSHA, WI 53142-1871
(262) 697-8927
Mailing address
7535 N GREENBAY RD, KENOSHA, WI 53142-1871
(262) 697-8927
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
13879-040
WI
Other
Enumeration date
11/19/2011
Last updated
11/19/2011
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