Mallidi, Srinivas R

Mallidi, Srinivas R is an individual health care provider with primary practice located at 1970 Roanoke Blvd , Salem VA 24153-6404. He recently has 2 registered licenses in different health care specialties including Pharmacy Service Providers / Pharmacist, Pharmacy Service Providers / Nuclear. Pharmacy Service Providers / Pharmacist is his primary health care specialty. Mallidi, Srinivas R can be contacted via phone (540) 982-2463.

Contact Information

Primary practice address
1970 Roanoke Blvd Salem VA 24153-6404
Phone: (540) 982-2463
Fax: (540) 224-1970
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 0202206372 Virginia
Pharmacy Service Providers / Pharmacist 183500000X 13172 Maryland
Pharmacy Service Providers / Nuclear 1835N0905X 0202206372 Virginia

Profile Details

NPI number 1346493384
LBN Legal business name Mallidi, Srinivas R
Credentials RPH
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 3rd, 2008
Last updated Jan 27th, 2014 - about 10 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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