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1144566324
PRUDVI REDDY PEDAVEETI
LAUREL, MD
NPI
1144566324
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
183500000X Pharmacist
(Licence: MD 19263)
Enumeration Date
2012-12-17
Last Update Date
2020-01-25
Business Address
PRUDVI REDDY PEDAVEETI
9155 BOURBON ST APT C
LAUREL, MD 20723-1647
Phone number: 410-457-7725
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Mailing Address
PRUDVI REDDY PEDAVEETI
4528 EDMONDSON AVE
BALTIMORE, MD 21229-1506
Phone number: 410-566-5565
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