Lillian Phann Sisavanh

NPI #1922603141 in Saraland, Alabama

Provider Information

NPI Number: 1922603141
Entity Type: Individual
Name: Lillian Phann Sisavanh
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Pharmacist
Enumeration Date: Dec 4, 2020
Last Updated: Dec 4, 2020

Practice Location

Address: 24 SARALAND BLVD N
City: Saraland
State: Alabama
ZIP Code: 36571-2408
Phone: (251) 675-2747

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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