Individual provider · Type 1 NPI

Souksavanh Phaengkhouane, PharmD

Pharmacist · Brainerd, MN

NPI number 1760877138 Active

Practice location

108 S 6th St
Brainerd, MN 56401-3575

Call (218) 829-0347 Map

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Primary 183500000X121927 (MN)

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 1760877138

Souksavanh Phaengkhouane, PharmD's National Provider Identifier is 1760877138, issued on Apr 2, 2015. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Brainerd, MN. The record was last updated on Apr 2, 2015.