Provider Demographics
NPI:1649698960
Name:ANANTHU, SATEESH (RPH)
Entity type:Individual
Prefix:
First Name:SATEESH
Middle Name:
Last Name:ANANTHU
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6601 W BETHANY HOME RD STE A10-11
Mailing Address - Street 2:
Mailing Address - City:GLENDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85301-4947
Mailing Address - Country:US
Mailing Address - Phone:623-440-7717
Mailing Address - Fax:623-440-7781
Practice Address - Street 1:6601 W BETHANY HOME RD STE A10-11
Practice Address - Street 2:
Practice Address - City:GLENDALE
Practice Address - State:AZ
Practice Address - Zip Code:85301-4947
Practice Address - Country:US
Practice Address - Phone:623-440-7717
Practice Address - Fax:623-440-7781
Is Sole Proprietor?:Yes
Enumeration Date:2014-04-03
Last Update Date:2025-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZS016870183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist