Sathana Mam, RPH, PHARM.D

NPI #1356635122 in Kelso, Washington

Provider Information

NPI Number: 1356635122
Entity Type: Individual
Name: Sathana Mam, RPH, PHARM.D
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Pharmacist
Credential: RPH, PHARM.D
Enumeration Date: Jun 8, 2011
Last Updated: Jun 8, 2011

Practice Location

Address: 205 THREE RIVERS DR
Address 2: T-0628
City: Kelso
State: Washington
ZIP Code: 98626-3127
Phone: (360) 578-7387

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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