PRATANA CHAROENPHOL

LAKE HAVASU CITY, AZ
NPI1891022380
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy183500000X Pharmacist
(Licence: AZ  s016570)
Enumeration Date2009-11-04
Last Update Date2009-11-04
Business Address
-- PRATANA CHAROENPHOL
80 ACOMA BLVD N
LAKE HAVASU CITY, AZ 86403-6932
Phone number: 928-680-4449
Mailing Address
-- PRATANA CHAROENPHOL
80 ACOMA BLVD N
LAKE HAVASU CITY, AZ 86403-6932
Phone number: 928-680-4449