Individual
ALAA SAMARO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
119 W 6TH AVE, EL DORADO, KS 67042-1934
(316) 519-2614
Mailing address
119 W 6TH AVE, EL DORADO, KS 67042-1934
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
1100754
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1100754
NABP
KS
Enumeration date
02/23/2018
Last updated
02/23/2018
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