KEOMOUKDA RAJAVONG

PHILADELPHIA, PA
NPI1326934498
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy183500000X Pharmacist
(Licence: PA  RP039891L)
Enumeration Date2025-06-16
Last Update Date2025-06-16
Business Address
KEOMOUKDA RAJAVONG RPh
1501 N BROAD ST
PHILADELPHIA, PA 19122-3319
Phone number: 215-235-4000
Mailing Address
KEOMOUKDA RAJAVONG RPh
142 S 52ND ST STE 201
PHILADELPHIA, PA 19139-3409
Phone number: 215-471-4000
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