SOUKSAVANH PHAENGKHOUANE

BRAINERD, MN
NPI1760877138
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy183500000X Pharmacist
(Licence: MN  121927)
Enumeration Date2015-04-02
Last Update Date2015-04-02
Business Address
-- SOUKSAVANH PHAENGKHOUANE Pharm.D.
108 S 6TH ST
BRAINERD, MN 56401-3575
Phone number: 218-829-0347
Mailing Address
-- SOUKSAVANH PHAENGKHOUANE Pharm.D.
108 S 6TH ST
BRAINERD, MN 56401-3575
Phone number:
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