Individual provider · Type 1 NPI

Keomoukda Rajavong, RPH

Pharmacist · Philadelphia, PA

NPI number 1326934498 Active

Practice location

1501 N Broad St
Philadelphia, PA 19122-3319

Call (215) 235-4000 Map

Fax (267) 324-5875

Mailing address

142 S 52nd St Ste 201
Philadelphia, PA 19139-3409

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Primary 183500000XRP039891L (PA)

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…

5 other providers at this address

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About NPI 1326934498

Keomoukda Rajavong, RPH's National Provider Identifier is 1326934498, issued on Jun 16, 2025. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Philadelphia, PA. The record was last updated on Jun 16, 2025.