Individual
MRS. SHOBHA POTTIPATI REDDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
6125 DURAND AVE, MOUNT PLEASANT, WI 53406-4913
(262) 554-6116
Mailing address
1266 E ESSEX CT, ROUND LAKE BEACH, IL 60073-4160
(847) 231-6797
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
040-14332
WI
183500000X
Pharmacist
051293109
IL
Other
Enumeration date
01/06/2012
Last updated
01/06/2012
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