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
ZIP Code
98532-1711
Phone
(360) 740-1876

Specialties & Taxonomy Codes

Specialty
Pharmacist

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