Provider Demographics
NPI:1841426467
Name:GADIRAJU, SEETHARAMARAJU (PHARMACIST)
Entity Type:Individual
Prefix:MR
First Name:SEETHARAMARAJU
Middle Name:
Last Name:GADIRAJU
Suffix:
Gender:M
Credentials:PHARMACIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:RITE AID PHARMACY 4345, 27401 WEST 6 MILE RD
Mailing Address - Street 2:
Mailing Address - City:LIVONIA
Mailing Address - State:MI
Mailing Address - Zip Code:48152-3834
Mailing Address - Country:US
Mailing Address - Phone:734-762-0627
Mailing Address - Fax:734-762-0631
Practice Address - Street 1:RITE AID PHARMACY 4345
Practice Address - Street 2:27401 WEST SIX MILE RD
Practice Address - City:LIVONIA
Practice Address - State:MI
Practice Address - Zip Code:48152-3834
Practice Address - Country:US
Practice Address - Phone:734-762-0627
Practice Address - Fax:734-762-0631
Is Sole Proprietor?:No
Enumeration Date:2009-06-10
Last Update Date:2009-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5302034992183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist