BOONSANONG ANN LUCKTONG

ROANOKE, VA
NPI1114495090
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1835P2201X Pharmacist Ambulatory Care
(Licence: VA  0202206409)
Enumeration Date2018-11-08
Last Update Date2018-11-08
Business Address
BOONSANONG ANN LUCKTONG
1906 BELLEVIEW AVE SE
ROANOKE, VA 24014-1838
Phone number: 540-266-6288
Mailing Address
BOONSANONG ANN LUCKTONG
1906 BELLEVIEW AVE SE
ROANOKE, VA 24014-1838
Phone number: 540-266-6288
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