SURAA ASMAEIL
Individual Provider (NPI-1)
Active
Pharmacist
Provider Information
- NPI Number
1376498899- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 10206 W CHARLIE LN, GARDEN CITY, ID, 837143666
- Phone
- (986) 895-1310
Specialties & Taxonomies
Pharmacist
Primary License: ID #i54928
All Addresses
MAILING
10206 W CHARLIE LN
GARDEN CITY, ID, 837143666