Individual
DR. CHICKHAM SYVANTHONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARM.D.
Contact information
Practice address
8220 MOUNT HOLLY HUNTERSVILLE RD, CHARLOTTE, NC 28216-9744
(704) 399-5303
Mailing address
8220 MOUNT HOLLY HUNTERSVILLE RD, CHARLOTTE, NC 28216-9744
(704) 399-5303
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
16890
NC
Other
Enumeration date
12/07/2010
Last updated
12/07/2010
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