THIENNAM TONTHAT

SAN JOSE, CA
NPI1144096462
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy183500000X Pharmacist
(Licence: CA  77096)
Enumeration Date2023-11-28
Last Update Date2023-11-28
Business Address
THIENNAM TONTHAT rph
2643 SENTER RD STE A
SAN JOSE, CA 95111-1184
Phone number: 408-287-4899
Mailing Address
THIENNAM TONTHAT rph
2643 SENTER RD STE A
SAN JOSE, CA 95111-1184
Phone number: 408-287-4899