Individual
DR. BOON THANASACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
208 CANDLEWOOD DR, DANVILLE, KY 40422-2902
(614) 204-1855
Mailing address
208 CANDLEWOOD DR, DANVILLE, KY 40422-2902
(614) 204-1855
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
015233
KY
183500000X
Pharmacist
03230261-2
OH
Other
Enumeration date
06/18/2014
Last updated
06/18/2014
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