| NPI | 1306939749 |
|---|---|
| Doing Business As | ANGKOR PHARMACY |
| Entity Type | Organization |
| Authorized Contact | BUNNAUN UCH Owner/PIC 209-888-2099 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy |
| Enumeration Date | 2006-09-30 |
| Last Update Date | 2020-06-15 |