Individual
MRS. TERESA DAWN SOULATI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH, BS PHARM
Contact information
Practice address
4881 SUGAR MAPLE DR, WPAFB, OH 45433-5546
(937) 257-1427
Mailing address
4881 SUGAR MAPLE DR, WPAFB, OH 45433-5546
(937) 257-1427
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
03-2-23265
OH
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
3223265
OH
Other
Enumeration date
10/13/2005
Last updated
07/10/2023
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