Provider Demographics
NPI:1073895033
Name:ANAPARTI, SUNEETHA
Entity Type:Individual
Prefix:MRS
First Name:SUNEETHA
Middle Name:
Last Name:ANAPARTI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3906 SW SYCAMORE ST
Mailing Address - Street 2:
Mailing Address - City:BENTONVILLE
Mailing Address - State:AR
Mailing Address - Zip Code:72712-7581
Mailing Address - Country:US
Mailing Address - Phone:479-273-9804
Mailing Address - Fax:
Practice Address - Street 1:2964 W MLK BLVD
Practice Address - Street 2:
Practice Address - City:FAYETTEVILLE
Practice Address - State:AR
Practice Address - Zip Code:72704-7682
Practice Address - Country:US
Practice Address - Phone:479-521-5103
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-09-15
Last Update Date:2011-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARPD10086183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist