Individual
BUNTHON YOU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2545 ARAMINGO AVE, PHILADELPHIA, PA 19125-3728
(215) 423-2361
Mailing address
5702 DUNLAP ST, PHILADELPHIA, PA 19131-3412
(215) 494-6034
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP456077
PA
Other
Enumeration date
09/03/2021
Last updated
09/03/2021
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