Provider Demographics
NPI:1487219341
Name:REDDY, TRISHA MARIE (PHARM D)
Entity Type:Individual
Prefix:
First Name:TRISHA
Middle Name:MARIE
Last Name:REDDY
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1015 SPRING CREEK PKWY
Mailing Address - Street 2:
Mailing Address - City:ZION CROSSROADS
Mailing Address - State:VA
Mailing Address - Zip Code:22942-7019
Mailing Address - Country:US
Mailing Address - Phone:434-243-9136
Mailing Address - Fax:434-243-9139
Practice Address - Street 1:1015 SPRING CREEK PKWY
Practice Address - Street 2:
Practice Address - City:ZION CROSSROADS
Practice Address - State:VA
Practice Address - Zip Code:22942-7019
Practice Address - Country:US
Practice Address - Phone:434-243-9136
Practice Address - Fax:434-243-9139
Is Sole Proprietor?:No
Enumeration Date:2019-05-07
Last Update Date:2019-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA02022081081835P2201X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P2201XPharmacy Service ProvidersPharmacistAmbulatory Care