Somkoum Baccam, RPH

NPI #1114528643 in Montgomery, Illinois

Provider Information

NPI Number: 1114528643
Entity Type: Individual
Name: Somkoum Baccam, RPH
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Pharmacist
Credential: RPH
Enumeration Date: Nov 2, 2020
Last Updated: Nov 2, 2020

Practice Location

Address: 2000 ORCHARD RD
City: Montgomery
State: Illinois
ZIP Code: 60538-1028
Phone: (630) 844-3509

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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