Individual
MR. CHAIRAT SUPSIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM.D.
Contact information
Practice address
1625 SCHRADER BLVD, LOS ANGELES, CA 90028-6213
(323) 993-7481
(323) 308-4444
Mailing address
1625 SCHRADER BLVD, LOS ANGELES, CA 90028-6213
(323) 993-7481
(323) 308-4444
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
64562
CA
Other
Enumeration date
02/09/2011
Last updated
12/28/2016
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