Suresha Hanumanahalli Basavaraj, PHARMACIST
NPI #1063704732 in Chehalis, Washington
Provider Information
- NPI Number
- 1063704732
- Entity Type
- Individual
- Name
- Suresha Hanumanahalli Basavaraj, PHARMACIST
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Pharmacist
- Credential
- PHARMACIST
- Enumeration Date
- May 12, 2011
- Last Updated
- Nov 1, 2025
Practice Location
- Address
- 1610 NW LOUISIANA AVE
- City
- Chehalis
- State
- Washington
- ZIP Code
- 98532-1711
- Phone
- (360) 740-1876
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacist |
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