Provider Demographics
NPI:1679895130
Name:PADIKKALA, LITTY FRANK (RPH)
Entity Type:Individual
Prefix:MRS
First Name:LITTY
Middle Name:FRANK
Last Name:PADIKKALA
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:LITTY
Other - Middle Name:SAIRAH
Other - Last Name:BABU
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:25501 UNION TPKE
Mailing Address - Street 2:
Mailing Address - City:GLEN OAKS
Mailing Address - State:NY
Mailing Address - Zip Code:11004-1223
Mailing Address - Country:US
Mailing Address - Phone:718-470-6100
Mailing Address - Fax:
Practice Address - Street 1:25501 UNION TPKE
Practice Address - Street 2:
Practice Address - City:GLEN OAKS
Practice Address - State:NY
Practice Address - Zip Code:11004-1223
Practice Address - Country:US
Practice Address - Phone:718-470-6100
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-02-24
Last Update Date:2023-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY053220183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist