DR. Boon Thanasack

NPI #1679987697 in Danville, Kentucky

Provider Information

NPI Number: 1679987697
Entity Type: Individual
Name: DR. Boon Thanasack
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Pharmacist
Enumeration Date: Jun 18, 2014
Last Updated: Jun 18, 2014

Practice Location

Address: 208 CANDLEWOOD DR
City: Danville
State: Kentucky
ZIP Code: 40422-2902
Phone: (614) 204-1855

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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