Individual
MR. PORNPOT CHAMNONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
9605 FRIESIAN ST, LAS VEGAS, NV 89143-1170
(702) 496-6163
Mailing address
9605 FRIESIAN ST, LAS VEGAS, NV 89143-1170
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
11484
NV
Other
Enumeration date
04/19/2007
Last updated
07/08/2007
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