Individual
TUANGPORN SITTISUNTORN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1085 COTTINGHAM BLVD N, BENNETTSVILLE, SC 29512-2868
(843) 479-8355
Mailing address
1085 COTTINGHAM BLVD N, BENNETTSVILLE, SC 29512-2868
(843) 479-8355
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
36225
SC
Other
Enumeration date
08/21/2015
Last updated
08/21/2015
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