Individual
NANTHIDA SOUKSEUNCHAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
314 MAIN ST, GARDNER, MA 01440-2902
(978) 632-1760
(978) 630-0100
Mailing address
19 SAINT ANTHONY ST, FITCHBURG, MA 01420-6238
(978) 790-2471
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH26523
MA
Other
Enumeration date
11/24/2020
Last updated
11/24/2020
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