Provider Demographics
NPI:1881281285
Name:ANNAPPAREDDY, REDDY V (RPH)
Entity type:Individual
Prefix:
First Name:REDDY
Middle Name:V
Last Name:ANNAPPAREDDY
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 1:7375 SAINT MARGARETS BLVD
Mailing Address - Street 2:
Mailing Address - City:HANOVER
Mailing Address - State:MD
Mailing Address - Zip Code:21076-2119
Mailing Address - Country:US
Mailing Address - Phone:443-977-7727
Mailing Address - Fax:509-651-6667
Practice Address - Street 1:7375 SAINT MARGARETS BLVD
Practice Address - Street 2:
Practice Address - City:HANOVER
Practice Address - State:MD
Practice Address - Zip Code:21076-2119
Practice Address - Country:US
Practice Address - Phone:443-977-7727
Practice Address - Fax:509-651-6667
Is Sole Proprietor?:Yes
Enumeration Date:2020-12-31
Last Update Date:2020-12-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD13939183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist