Individual
AYA SAMRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
170 BUCKAROO LN, BELLEFONTE, PA 16823-9119
(814) 355-2429
Mailing address
907 W AARON DR APT F, STATE COLLEGE, PA 16803-3133
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP458254
PA
Other
Enumeration date
03/06/2024
Last updated
03/06/2024
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