Ricky Phongsa

NPI #1346765781 in Uncasville, Connecticut

Provider Information

NPI Number: 1346765781
Entity Type: Individual
Name: Ricky Phongsa
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pharmacist
Enumeration Date: Aug 7, 2017
Last Updated: Nov 14, 2021

Practice Location

Address: 601 ROUTE 32
City: Uncasville
State: Connecticut
ZIP Code: 06382-2104
Phone: (860) 848-7979

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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