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1053710558
SUPRIYA PONNAPULA
BOISE, ID
NPI
1053710558
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1835P2201X Pharmacist, Ambulatory Care
(Licence: TN 38214)
Enumeration Date
2014-08-20
Last Update Date
2024-01-23
Business Address
Dr. SUPRIYA PONNAPULA Pharm.D.
500 W FORT ST
BOISE, ID 83702-4599
Phone number: 208-422-1000
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Mailing Address
Dr. SUPRIYA PONNAPULA Pharm.D.
500 W FORT ST
BOISE, ID 83702-4599
Phone number: 208-422-1000
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