Individual
BEN HARIPOTEPORNKUL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
9521 DALEN ST, DOWNEY, CA 90242-4847
(562) 401-4200
Mailing address
6250 E 5TH ST, LONG BEACH, CA 90803-2130
(818) 219-8974
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
55611
CA
Other
Enumeration date
01/30/2020
Last updated
01/30/2020
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