SUPRIYA PONNAPULA

BOISE, ID
NPI1053710558
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1835P2201X Pharmacist Ambulatory Care
(Licence: TN  38214)
Enumeration Date2014-08-20
Last Update Date2024-01-23
Business Address
DR. SUPRIYA PONNAPULA PHARM.D.
500 W FORT ST
BOISE, ID 83702-4599
Phone number: 208-422-1000
Mailing Address
DR. SUPRIYA PONNAPULA PHARM.D.
500 W FORT ST
BOISE, ID 83702-4599
Phone number: 208-422-1000