Eang Lao

NPI 1215204458 - Pharmacist - 183500000X

NPI Details
NPI 1215204458
Gender Male
Enumeration Date 11/16/2011
Last Updated 11/16/2011
Entity Type Individual
Active Over 5 years ago
Practice Location
210 MOUNT HERMON RD
SCOTTS VALLEY CA, 95066-4009, US
Phone (831) 430-9113
Fax (831) 430-9138
Business Location
210 MOUNT HERMON RD
SCOTTS VALLEY CA, 95066-4009, US
Phone (831) 430-9113
Fax (831) 430-9138
Toxanomy
Taxonomy Code 183500000X
License State California
License Number RPH60362
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According to our database, Eang Lao NPI is 1215204458, taxonomy code is 183500000X and license number is RPH60362, license state is located at California. Eang Lao physically located at 210 Mount Hermon Rd, Scotts Valley CA, 95066-4009. NPI Number Eang Lao has the Individual type.

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1215204458 NPI number is provided on an as is basis without warranty of any kind. 1215204458 is maintained by the National Plan & Provider Enumeration System. The contents of Eang Lao are for informational purposes only.