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Contact Information

SRINIVAS R MALLIDI, RPH
1970 ROANOKE BLVD
SALEM, VA24153-6404
 Phone: 540-982-2463
 Fax: 540-224-1970
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pharmacist

183500000X
 

Nuclear

1835N0905X
Indicates primary specialty

NPI Profile & details for SRINIVAS R MALLIDI · (Male)

NPI # 1346493384
Status Active
Credentials RPH (Registered Pharmacist)
Entity Individual
Enumeration date 11/03/2008
Last updated 01/27/2014 - About 12 years ago
Sole proprietor 1 No
Identifiers
  • MD License # 13172
  • VA License # 0202206372
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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