Thanyaporn Threerawankongsiri

NPI #1255731238 in Puyallup, Washington

Provider Information

NPI Number: 1255731238
Entity Type: Individual
Name: Thanyaporn Threerawankongsiri
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pharmacist
Enumeration Date: Aug 27, 2014
Last Updated: Aug 27, 2014

Practice Location

Address: 16502 MERIDIAN E
City: Puyallup
State: Washington
ZIP Code: 98375-2515
Phone: (253) 446-1754

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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