Provider Demographics
NPI:1245530245
Name:NALLURI, NAGINI (B PHARM)
Entity type:Individual
Prefix:MS
First Name:NAGINI
Middle Name:
Last Name:NALLURI
Suffix:
Gender:F
Credentials:B PHARM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2575 W GOLF RD
Mailing Address - Street 2:
Mailing Address - City:HOFFMAN ESTATES
Mailing Address - State:IL
Mailing Address - Zip Code:60169-1165
Mailing Address - Country:US
Mailing Address - Phone:847-490-8870
Mailing Address - Fax:847-882-9874
Practice Address - Street 1:2575 W GOLF RD
Practice Address - Street 2:
Practice Address - City:HOFFMAN ESTATES
Practice Address - State:IL
Practice Address - Zip Code:60169-1165
Practice Address - Country:US
Practice Address - Phone:847-490-8870
Practice Address - Fax:847-882-9874
Is Sole Proprietor?:No
Enumeration Date:2010-10-25
Last Update Date:2010-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL051293184183500000X
NJ28RI02987500183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist