SAN TA

DOWNEY, CA
NPI1073978482
Former NameSAN SOUVANNALEUTH
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy183500000X Pharmacist
(Licence: CA  73504)
Additional Taxonomies183500000X Pharmacist
(Licence: WA  PH60565451)
183500000X Pharmacist
(Licence: TX  57996)
1835P0018X Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
(Licence: OR  RPH0015000)
183500000X Pharmacist
(Licence: NV  19179)
Enumeration Date2015-12-30
Last Update Date2023-06-09
Business Address
SAN TA PharmD
11500 BROOKSHIRE AVE
DOWNEY, CA 90241-4917
Phone number: 562-904-5511
Mailing Address
SAN TA PharmD
11500 BROOKSHIRE AVE
DOWNEY, CA 90241-4917
Phone number: