NPI 1003210428

Channarong Jaruvangsanti, PHARMD

Practitioner Pharmacist Phoenix, AZ

Practice location

Address: 408 W Aire Libre Ave, Phoenix, AZ 85023-7923
Phone: (602) 481-3328

Registered specialties

Pharmacist Primary

Pharmacy Service Providers Taxonomy 183500000X Licence S010041 (AZ)

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Registry record

NPI: 1003210428
Entity type: Individual
Sex (as registered): Male
NPI issued: 14 Oct 2014
Record last updated: 14 Oct 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.