Individual
KEOMINGMEUANG ALEXANDRIA MUNNICHA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
253 SAGAMORE PKWY W, WEST LAFAYETTE, IN 47906-1501
(765) 448-8100
Mailing address
4393 OSPREY DR, COLUMBUS, IN 47203-1779
(812) 314-1607
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26031420A
IN
Other
Enumeration date
08/08/2025
Last updated
08/26/2025
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