Most Relevant Information
Provider Data
| NPI Number: | 1003473398 |
| Provider Name: | MURSAL A MURSAL PHARMACIST |
| Entity Type: | Individual |
| Taxonomy Code: | 183500000X |
| Specialty: | Pharmacist |
| License Number: | 0202215244 |
Most Important Dates
| Enumeration Date: | 05/22/2019 |
| Last Updated: | 10/02/2023 |
Provider Practice Location
167 MAIN ST
TUBA CITY
AZ
860451675
Practice Location Phone/Fax
| Phone: | 9282831432 |
| Fax: |
Provider Mailing Location
5012 HEAD CT
FAIRFAX
VA
220322509
Provider Mailing Phone/Fax
| Phone: | 7039638439 |
| Fax: |