Provider Demographics
NPI:1588976229
Name:MUPPIDI, SONIA ALBUQUERQUE (R PH, MBA)
Entity type:Individual
Prefix:MS
First Name:SONIA
Middle Name:ALBUQUERQUE
Last Name:MUPPIDI
Suffix:
Gender:F
Credentials:R PH, MBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3 PASCAL LN
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78746-3202
Mailing Address - Country:US
Mailing Address - Phone:512-771-5393
Mailing Address - Fax:
Practice Address - Street 1:701 N. CAPITAL OF TEXAS HIGHWAY
Practice Address - Street 2:HEB PHARMACY
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78746
Practice Address - Country:US
Practice Address - Phone:512-329-5184
Practice Address - Fax:512-329-5478
Is Sole Proprietor?:No
Enumeration Date:2010-07-10
Last Update Date:2010-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX23880183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist