Individual provider · Type 1 NPI

Desarone Chanthavong, RPH

Pharmacist · Vancouver, WA

NPI number 1912208232 Active

Practice location

11696 NE 76th St
Vancouver, WA 98662-3941

Fax (360) 944-2669

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Primary 183500000XPH00017390 (WA)

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 1912208232

Desarone Chanthavong, RPH's National Provider Identifier is 1912208232, issued on Nov 3, 2010. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Vancouver, WA. The record was last updated on Nov 3, 2010.