Souphone Pone Rattana, RPH

NPI #1699233486 in Elmhurst, Illinois

Provider Information

NPI Number
1699233486
Entity Type
Individual
Name
Souphone Pone Rattana, RPH
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Pharmacist
Credential
RPH
Enumeration Date
Mar 11, 2019
Last Updated
Mar 11, 2019

Practice Location

Address
474 W COMMONWEALTH LN
ZIP Code
60126-4954
Phone
(630) 941-1688

Specialties & Taxonomy Codes

Specialty
Pharmacist

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