Provider Demographics
NPI:1528202785
Name:DONEPUDI, UMAMAHESWARA PRASAD (PHARMD)
Entity Type:Individual
Prefix:MR
First Name:UMAMAHESWARA
Middle Name:PRASAD
Last Name:DONEPUDI
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:250 COLLEGE AVE
Mailing Address - Street 2:
Mailing Address - City:LANCASTER
Mailing Address - State:PA
Mailing Address - Zip Code:17603-3363
Mailing Address - Country:US
Mailing Address - Phone:717-517-8109
Mailing Address - Fax:717-517-8571
Practice Address - Street 1:250 COLLEGE AVE
Practice Address - Street 2:
Practice Address - City:LANCASTER
Practice Address - State:PA
Practice Address - Zip Code:17603-3363
Practice Address - Country:US
Practice Address - Phone:717-517-8109
Practice Address - Fax:717-517-8571
Is Sole Proprietor?:No
Enumeration Date:2009-04-30
Last Update Date:2017-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY053059183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist