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1124369467
SU THAI
GLENDALE, CA
NPI
1124369467
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
183500000X Pharmacist
(Licence: CA 41457)
Enumeration Date
2013-03-12
Last Update Date
2013-03-12
Business Address
-- SU THAI
1700 W GLENOAKS BLVD
GLENDALE, CA 91201-1816
Phone number: 818-507-0625
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Mailing Address
-- SU THAI
1700 W GLENOAKS BLVD
GLENDALE, CA 91201-1816
Phone number: 818-507-0625
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