Individual provider · Type 1 NPI
Thavory Sokon Samoeun
Pharmacist · St. Augustine, FL
Practice location
22 Fremont Ave
St. Augustine, FL 32095-8646
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pharmacist Primary | 183500000X | 42516 (FL) |
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…
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About NPI 1053283119
Thavory Sokon Samoeun's National Provider Identifier is 1053283119, issued on Sep 18, 2025. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in St. Augustine, FL. The record was last updated on Sep 18, 2025.