Individual
MR. CHUKIAT CHAILITILERD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
507 S WASHINGTON ST, BEVERLY HILLS, FL 34465-4311
(352) 270-3243
Mailing address
1577 US HIGHWAY 27 N, AVON PARK, FL 33825-2150
(352) 287-4920
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PS40657
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PS40657
DOH
FL
Enumeration date
03/16/2007
Last updated
08/22/2013
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