Individual provider · Type 1 NPI
Chiangchanh Phothisane, PharmD
Pharmacist · Montgomery, AL
Practice location
1080 Eastern Blvd
Montgomery, AL 36117-1919
Fax (334) 277-6252
Mailing address
93 Mountain Terrace Ln
Wetumpka, AL 36093-3920
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pharmacist Primary | 183500000X | 14442 (AL) |
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 1760856652
Chiangchanh Phothisane, PharmD's National Provider Identifier is 1760856652, issued on Nov 16, 2015. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Montgomery, AL. The record was last updated on Nov 16, 2015.