LILLIAN PHANN SISAVANH

SARALAND, AL
NPI1922603141
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy183500000X Pharmacist
(Licence: AL  21506)
Enumeration Date2020-12-04
Last Update Date2020-12-04
Business Address
LILLIAN PHANN SISAVANH
24 SARALAND BLVD N
SARALAND, AL 36571-2408
Phone number: 251-675-2747
Mailing Address
LILLIAN PHANN SISAVANH
24 SARALAND BLVD N
SARALAND, AL 36571-2408
Phone number: 251-675-2747