NPI 1366512287

Krilurk Chanvitayapongs, RPH

Practitioner Pharmacist Caruthersville, MO

Practice location

Address: 2709 South Ward, Caruthersville, MO 63830
Phone: (800) 626-6934
Fax: (573) 333-2843

Registered specialties

Pharmacist Primary

Pharmacy Service Providers Taxonomy 183500000X Licence 041227 (MO)

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Registry record

NPI: 1366512287
Entity type: Individual
Sex (as registered): Male
NPI issued: 8 Nov 2006
Record last updated: 8 Jul 2007

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.