| NPI | 1699285973 |
|---|---|
| Doing Business As | ANGKOR PHARMACY |
| Entity Type | Organization |
| Authorized Contact | BUNNAUN UCH Owner 209-888-2099 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy |
| Enumeration Date | 2017-10-02 |
| Last Update Date | 2020-06-15 |