Individual
SUCHART THAMMAHONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
734 MCLEAN DRIVE, MADISON, WI, WI 53718
(262) 232-0020
Mailing address
734 MCLEAN DR, MADISON, WI 53718-3060
(262) 232-0020
(608) 873-5496
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
11001-40
WI
Other
Enumeration date
10/21/2020
Last updated
10/21/2020
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