Repalle, Srinivasa Suri
Repalle, Srinivasa Suri is an sole proprietor health care provider with primary practice located at 1005 N Stratford Rd , Moses Lake WA 98837-1574. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Repalle, Srinivasa Suri can be contacted via phone (509) 766-0168.Contact Information
Primary practice address
1005 N Stratford Rd
Moses Lake WA 98837-1574
Phone: (509) 766-0168
Fax: (509) 766-0741
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Pharmacy Service Providers / Pharmacist | 183500000X | PH60064746 | Washington |
Profile Details
| NPI number | 1821364837 |
|---|---|
| LBN Legal business name | Repalle, Srinivasa Suri |
| Credentials | RPH |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 24th, 2012 |
| Last updated | Mar 24th, 2012 - about 14 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1821364837 | NPPES |
| Washington | Other | PH60064746 | PHARMACIST LICENSE |
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