Ponnapula, Supriya

Ponnapula, Supriya is an individual health care provider with primary practice located at 500 W Fort St , Boise ID 83702-4599. She recently has only one registered license in Pharmacy Service Providers / Ambulatory Care, which is considered as her primary health care specialty. Ponnapula, Supriya can be contacted via phone (208) 422-1000.

Contact Information

Primary practice address
500 W Fort St Boise ID 83702-4599
Phone: (208) 422-1000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Ambulatory Care 1835P2201X 38214 Tennessee

Profile Details

NPI number 1053710558
LBN Legal business name Ponnapula, Supriya
Credentials PHARM.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 20th, 2014
Last updated Jan 23rd, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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