Individual
DR. VUTHIPONG RODPRACHA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
36 PINE ST, NEW CANAAN, CT 06840-5430
(203) 801-0121
Mailing address
36 PINE ST, NEW CANAAN, CT 06840-5430
(203) 801-0121
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
055502
NY
183500000X
Pharmacist
Primary
PCT.0010962
CT
Other
Enumeration date
09/19/2011
Last updated
09/19/2011
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