NPI 1780984286

Lahari Kalidindi, RPH

Practitioner Pharmacist Bayport, NY

Practice location

Address: 970 Montauk Hwy, Bayport, NY 11705-1612
Phone: (631) 363-8461
Mailing address: 306 W 19th St, Deer Park, NY 11729-6342

Registered specialties

Pharmacist Primary

Pharmacy Service Providers Taxonomy 183500000X Licence 055096 (NY)

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Registry record

NPI: 1780984286
Entity type: Individual
Sex (as registered): Female
NPI issued: 30 Oct 2010
Record last updated: 30 Oct 2010

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.