Praveen Potluri, RPH

NPI #1619134665 in Banning, California

Provider Information

NPI Number: 1619134665
Entity Type: Individual
Name: Praveen Potluri, RPH
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Pharmacist
Credential: RPH
Enumeration Date: May 19, 2008
Last Updated: May 19, 2008

Practice Location

Address: 3317 W RAMSEY ST
City: Banning
State: California
ZIP Code: 92220-3503
Phone: (951) 849-8614

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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