Individual
MURSAL A MURSAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMACIST
Contact information
Practice address
167 MAIN ST, TUBA CITY, AZ 86045-1675
(928) 283-1432
Mailing address
5012 HEAD CT, FAIRFAX, VA 22032-2509
(703) 963-8439
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0202215244
VA
Other
Enumeration date
05/22/2019
Last updated
10/02/2023
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