Provider Demographics
NPI:1831381599
Name:NEPPALLI, VAMSI KRISHNA (RPH)
Entity type:Individual
Prefix:MR
First Name:VAMSI
Middle Name:KRISHNA
Last Name:NEPPALLI
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:823 CAMARGO WAY
Mailing Address - Street 2:#4, UNIT 209
Mailing Address - City:ALTAMONTE SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:32714-3941
Mailing Address - Country:US
Mailing Address - Phone:904-651-9748
Mailing Address - Fax:
Practice Address - Street 1:823 CAMARGO WAY
Practice Address - Street 2:#4, UNIT 209
Practice Address - City:ALTAMONTE SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:32714-3941
Practice Address - Country:US
Practice Address - Phone:904-651-9748
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-08-15
Last Update Date:2007-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS42752183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist