Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
BOONSANONG ANN LUCKTONG
ActiveBOONSANONG ANN LUCKTONG is a Ambulatory Care Pharmacist healthcare provider located in ROANOKE, Virginia. NPI 1114495090 is currently active in the NPPES registry. Verify at CMS.
Ambulatory Care Pharmacist · ROANOKE, VA
Registration Details
- NPI Number
- 1114495090
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Nov 8, 2018 (7.7999309652275 yrs)
- Last Updated
- Nov 8, 2018
- License
-
0202206409 (VA)
Practice Information
- Address
-
1906 BELLEVIEW AVE SEROANOKE, VA, 240141838Browse VA providers · Browse ZIP 24014
- Phone
- 5402666288
- Primary Specialty
-
Ambulatory Care Pharmacist
1835P2201X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.