Individual
CHANNARONG JARUVANGSANTI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARM D.
Contact information
Practice address
408 W AIRE LIBRE AVE, PHOENIX, AZ 85023-7923
(602) 481-3328
Mailing address
408 W AIRE LIBRE AVE, PHOENIX, AZ 85023-7923
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
S010041
AZ
Other
Enumeration date
10/14/2014
Last updated
10/14/2014
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