Individual
STEPHANIE VONGPHOUTHONE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
8900 OLD SEWARD HWY, ANCHORAGE, AK 99515-2022
(907) 344-7300
Mailing address
8900 OLD SEWARD HWY, ANCHORAGE, AK 99515-2022
(907) 344-7300
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
113754
AK
Other
Enumeration date
10/26/2016
Last updated
10/26/2016
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