Individual
ARCHARIYA PUANGAMPAI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
4178 S EMERALD AVE, CHICAGO, IL 60609-2645
(312) 823-9663
Mailing address
4178 S EMERALD AVE, CHICAGO, IL 60609-2645
Taxonomy
Speciality
Code
Description
License number
State
1835P1200X
Pharmacotherapy Pharmacist
Primary
51290370
IL
Other
Enumeration date
12/15/2015
Last updated
12/15/2015
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