Shirisha Kodithala, RPH

NPI #1467741504 in Suwanee, Georgia

Provider Information

NPI Number: 1467741504
Entity Type: Individual
Name: Shirisha Kodithala, RPH
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pharmacist
Credential: RPH
Enumeration Date: Mar 29, 2011
Last Updated: Mar 29, 2011

Practice Location

Address: 1085 PEACHTREE INDUSTRIAL BLVD
Address 2: 1720 CONEFLOWER WAY
City: Suwanee
State: Georgia
ZIP Code: 30024-1919
Phone: (770) 614-2880

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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