Souksavanh Phaengkhouane, PHARM.D.

NPI #1760877138 in Brainerd, Minnesota

Provider Information

NPI Number
1760877138
Entity Type
Individual
Name
Souksavanh Phaengkhouane, PHARM.D.
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Pharmacist
Credential
PHARM.D.
Enumeration Date
Apr 2, 2015
Last Updated
Apr 2, 2015

Practice Location

Address
108 S 6TH ST
ZIP Code
56401-3575
Phone
(218) 829-0347

Specialties & Taxonomy Codes

Specialty
Pharmacist

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