Eva Susi Mulyawati, RPH

NPI #1285755751 in Alpine, California

Provider Information

NPI Number
1285755751
Entity Type
Individual
Name
Eva Susi Mulyawati, RPH
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Pharmacist
Credential
RPH
Enumeration Date
Apr 3, 2007
Last Updated
Jul 8, 2007

Practice Location

Address
1665 ALPINE BOULEVARD
City
Alpine
ZIP Code
92101-3859
Phone
(619) 659-1085

Specialties & Taxonomy Codes

Specialty
Pharmacist

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