BASAVA PURNA TIYYAGURA

LACEY, WA
NPI1467797704
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy183500000X Pharmacist
(Licence: WA  PH60210876)
Enumeration Date2012-11-27
Last Update Date2012-11-27
Business Address
-- BASAVA PURNA TIYYAGURA
8230 MARTIN WAY E
LACEY, WA 98516-5726
Phone number: 360-456-0444
Mailing Address
-- BASAVA PURNA TIYYAGURA
8230 MARTIN WAY E
LACEY, WA 98516-5726
Phone number: 360-456-0444
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