PHOUTHAVANH SAVATPHONH

CLARKSVILLE, TN
NPI1437677929
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy183500000X Pharmacist
(Licence: TN  41394)
Enumeration Date2017-09-05
Last Update Date2017-09-05
Business Address
PHOUTHAVANH SAVATPHONH
498 WARFIELD BLVD
CLARKSVILLE, TN 37043-6071
Phone number: 931-551-4290
Mailing Address
PHOUTHAVANH SAVATPHONH
200 HOLLAND DR # M1238
CLARKSVILLE, TN 37043-2545
Phone number: 615-299-6563
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