Individual provider · Type 1 NPI
Praveen Potluri, RPH
Pharmacist · Banning, CA
Practice location
3317 W Ramsey St
Banning, CA 92220-3503
Fax (951) 849-2057
Mailing address
1699 E Washington St Apt 2276
Colton, CA 92324-6454
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pharmacist Primary | 183500000X | 58219 (CA) |
Pharmacist: An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage…
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About NPI 1619134665
Praveen Potluri, RPH's National Provider Identifier is 1619134665, issued on May 19, 2008. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Banning, CA. The record was last updated on May 19, 2008.