Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JUTHAMAT FUANGTHAISONG
Active Sole ProprietorJUTHAMAT FUANGTHAISONG is a Pharmacist healthcare provider located in BROOKHAVEN, Pennsylvania. NPI 1790441715 is currently active in the NPPES registry. Verify at CMS.
Pharmacist · BROOKHAVEN, PA
Registration Details
- NPI Number
- 1790441715
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Nov 14, 2021 (4.5610479050534 yrs)
- Last Updated
- Nov 14, 2021
- License
-
RP455507 (PA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
4098 EDGMONT AVEBROOKHAVEN, PA, 190152211Browse PA providers · Browse ZIP 19015
- Phone
- 6108768815
- Primary Specialty
-
Pharmacist
183500000X
Other Pharmacist Providers in BROOKHAVEN, PA
| Name | Credential | NPI |
|---|---|---|
| MRS. NORA MICHAELS | RPH | 1679564199 |
| MR. THOMAS M WISDO | RPH | 1871574681 |
| MOHSEN GHORBAN ALIZADEH | PHARMD | 1427204999 |
| JOHN WILLIAM PITMAN | RPH | 1508000423 |
| MRS. PHONGSIRI SIVASEN YEE | RPH | 1306080288 |
| MS. KIMBERLY NICOLE KLEEMAN | PHARMD | 1174804330 |
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.