Pratiksha Kuppusamy, RPH

NPI #1265760011 in Lakeway, Texas

Provider Information

NPI Number: 1265760011
Entity Type: Individual
Name: Pratiksha Kuppusamy, RPH
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Pharmacist
Credential: RPH
Enumeration Date: Dec 4, 2009
Last Updated: Dec 4, 2009

Practice Location

Address: 2401 RANCH ROAD 620 S
City: Lakeway
State: Texas
ZIP Code: 78738-5603
Phone: (512) 236-7887

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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