Individual
THAKUL NONE RATTANASUWAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
200 W 1ST ST, PAYNESVILLE, MN 56362-1445
(320) 243-3767
Mailing address
245 E STATE HIGHWAY 55 APT 307, PAYNESVILLE, MN 56362-2074
(352) 215-2025
Taxonomy
Speciality
Code
Description
License number
State
1835P2201X
Ambulatory Care Pharmacist
Primary
123417
MN
Other
Enumeration date
07/14/2017
Last updated
07/14/2017
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