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1881011336
PANIDA LAUSANGNGAM
BROOKLYN, NY
NPI
1881011336
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Former Name
PANIDA IYIMAPUN
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
183500000X Pharmacist
(Licence: NY 058462)
Enumeration Date
2014-03-22
Last Update Date
2014-03-22
Business Address
-- PANIDA LAUSANGNGAM RPH
911 MANHATTAN AVE
BROOKLYN, NY 11222-5958
Phone number: 718-383-7822
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Mailing Address
-- PANIDA LAUSANGNGAM RPH
911 MANHATTAN AVE
BROOKLYN, NY 11222-5958
Phone number: 718-383-7822
Copy
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