July Phouangmanivanh

NPI #1306458955 in Auburn, Alabama

Provider Information

NPI Number
1306458955
Entity Type
Individual
Name
July Phouangmanivanh
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Pharmacist
Enumeration Date
Aug 17, 2020
Last Updated
Aug 17, 2020

Practice Location

Address
1717 S COLLEGE ST
City
Auburn
State
Alabama
ZIP Code
36832-5870
Phone
(334) 821-2616

Specialties & Taxonomy Codes

Specialty
Pharmacist

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