Individual
DR. SRIDHAR BALASUBRAMANYAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH, PHD
Contact information
Practice address
19955 STATE ROUTE 2, MONROE, WA 98272-2338
(360) 926-0391
(360) 925-3290
Mailing address
19955 STATE ROUTE 2, MONROE, WA 98272-2338
(360) 926-0391
(360) 925-3290
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
PH 00071904
WA
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
PH00071904
WA
Other
Enumeration date
02/29/2012
Last updated
04/20/2026
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