Provider Demographics
NPI:1427403633
Name:NARRA, HARITA REDDY (RPH)
Entity Type:Individual
Prefix:
First Name:HARITA
Middle Name:REDDY
Last Name:NARRA
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:33333 6 MILE RD
Mailing Address - Street 2:
Mailing Address - City:LIVONIA
Mailing Address - State:MI
Mailing Address - Zip Code:48152-3265
Mailing Address - Country:US
Mailing Address - Phone:734-513-5078
Mailing Address - Fax:734-513-5102
Practice Address - Street 1:33333 6 MILE RD
Practice Address - Street 2:
Practice Address - City:LIVONIA
Practice Address - State:MI
Practice Address - Zip Code:48152-3265
Practice Address - Country:US
Practice Address - Phone:734-513-5078
Practice Address - Fax:734-513-5102
Is Sole Proprietor?:No
Enumeration Date:2016-04-26
Last Update Date:2016-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5302031864183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist