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Individual

DR. JEFFREY RATHAPONG THOONGSUWAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PHARM.D.

Contact information

Practice address
10800 MAGNOLIA AVE, RIVERSIDE, CA 92505-3043
(951) 353-2620
Mailing address
1412 SOMERSET DR, SAN DIMAS, CA 91773-3841
(626) 589-3920

Taxonomy

Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
58655
CA

Other

Enumeration date
12/15/2011
Last updated
12/15/2011
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