Individual
SUNAE TOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM.D.
Taxonomy
Speciality
Code
Description
License number
State
1835G0303X
Geriatric Pharmacist
Primary
PH-1583
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
476879
NABP
—
Enumeration date
11/25/2013
Last updated
11/25/2013
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