Provider Demographics
NPI:1871815894
Name:PAREPALLY, DHEEPTHI (PHARM D)
Entity type:Individual
Prefix:DR
First Name:DHEEPTHI
Middle Name:
Last Name:PAREPALLY
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1200 DEER PARK AVE
Mailing Address - Street 2:
Mailing Address - City:NORTH BABYLON
Mailing Address - State:NY
Mailing Address - Zip Code:11703-3109
Mailing Address - Country:US
Mailing Address - Phone:631-254-0464
Mailing Address - Fax:631-254-4371
Practice Address - Street 1:1200 DEER PARK AVE
Practice Address - Street 2:
Practice Address - City:NORTH BABYLON
Practice Address - State:NY
Practice Address - Zip Code:11703-3109
Practice Address - Country:US
Practice Address - Phone:631-254-0464
Practice Address - Fax:631-254-4371
Is Sole Proprietor?:Yes
Enumeration Date:2010-02-17
Last Update Date:2010-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY053285183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist