Kodithala, Shirisha
Kodithala, Shirisha is an individual health care provider with primary practice located at 1085 Peachtree Industrial Blvd 1720 Coneflower Way, Suwanee GA 30024-1919. She recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as her primary health care specialty. Kodithala, Shirisha can be contacted via phone (770) 614-2880.Contact Information
Primary practice address
1085 Peachtree Industrial Blvd 1720 Coneflower Way
Suwanee GA 30024-1919
Phone: (770) 614-2880
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Pharmacy Service Providers / Pharmacist | 183500000X | RPH025299 | Georgia |
Profile Details
| NPI number | 1467741504 |
|---|---|
| LBN Legal business name | Kodithala, Shirisha |
| Credentials | RPH |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 29th, 2011 |
| Last updated | Mar 29th, 2011 - about 14 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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