Provider Demographics
NPI:1194023630
Name:ARIKERI, PRAMOD K (RPH)
Entity Type:Individual
Prefix:
First Name:PRAMOD
Middle Name:K
Last Name:ARIKERI
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:488 ADAM LN
Mailing Address - Street 2:
Mailing Address - City:MECHANICSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17050-2478
Mailing Address - Country:US
Mailing Address - Phone:717-761-6141
Mailing Address - Fax:
Practice Address - Street 1:124 S FRONT ST
Practice Address - Street 2:
Practice Address - City:STEELTON
Practice Address - State:PA
Practice Address - Zip Code:17113-2521
Practice Address - Country:US
Practice Address - Phone:717-939-7235
Practice Address - Fax:717-985-0674
Is Sole Proprietor?:No
Enumeration Date:2011-03-08
Last Update Date:2011-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP438325183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist