Individual
TANAPONG CHAIRIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
R.PH
Contact information
Practice address
1300 EGG HARBOR RD STE 112, STURGEON BAY, WI 54235-1248
(920) 746-2977
(920) 746-2962
Mailing address
144 N 16TH PL, STURGEON BAY, WI 54235-1348
(920) 743-3649
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
14090-040
WI
Other
Enumeration date
04/12/2007
Last updated
07/08/2007
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