Individual provider · Type 1 NPI

Suresha Hanumanahalli Basavaraj, PHARMACIST

Pharmacist · Chehalis, WA

NPI number 1063704732 Active

Practice location

1610 NW Louisiana Ave
Chehalis, WA 98532-1711

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Primary 183500000XPH 60020887 (WA)

Pharmacist: An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage…

3 other providers at this address

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About NPI 1063704732

Suresha Hanumanahalli Basavaraj, PHARMACIST's National Provider Identifier is 1063704732, issued on May 12, 2011. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Chehalis, WA. The record was last updated on Nov 1, 2025.