SUBHADRA AYYALA PRATIWADI

SAMMAMISH, WA
NPI1346507753
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy183500000X Pharmacist
(Licence: WA  PH60267743)
Enumeration Date2012-04-23
Last Update Date2026-01-21
Business Address
SUBHADRA AYYALA PRATIWADI
1837 230TH AVE NE
SAMMAMISH, WA 98074-6565
Phone number: 732-666-3003
Mailing Address
SUBHADRA AYYALA PRATIWADI
1837 230TH AVE NE
SAMMAMISH, WA 98074-6565
Phone number: 732-666-3003
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