SANTI HOMPUANGPHOO

CHICAGO, IL
NPI1598361594
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy183500000X Pharmacist
(Licence: IL  051286813)
Additional Taxonomies183500000X Pharmacist
(Licence: AZ  S013080)
183500000X Pharmacist
(Licence: HI  PH3612)
Enumeration Date2020-12-07
Last Update Date2020-12-07
Business Address
SANTI HOMPUANGPHOO
3343 W MONTROSE AVE
CHICAGO, IL 60618-1205
Phone number: 773-279-2929
Mailing Address
SANTI HOMPUANGPHOO
3343 W MONTROSE AVE
CHICAGO, IL 60618-1205
Phone number: 773-279-2929