Individual
PADMA KANAKAMEDALA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
20825 WOODPECKER RD, ETTRICK, VA 23803-2573
(804) 520-0224
(804) 520-4394
Mailing address
20825 WOODPECKER RD, ETTRICK, VA 23803-2573
(804) 520-0224
(804) 520-4394
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0202207352
VA
Other
Enumeration date
03/29/2011
Last updated
03/29/2011
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