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SOMPONG ANUNTA RPH

>> Pharmacist >> Pharmacy Service Providers

Registrant NPI Number: 1457651747

Individual Registrant:
 SOMPONG  ANUNTA RPH
Gender: M
Sole Proprietor

Location and contact information for practice:
4200 CHINO HILLS PKWY  CHINO HILLS, CA 91709-3776 US
Tel: 909-548-2827  Fax: 909-548-2897

Contact information for business:
2051 CALLE TOMAS  SAN DIMAS, CA 91773-3929 US
Tel: 909-592-3625  Fax: 909-592-3625

Registration Information:
NPI: 1457651747
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y183500000XPharmacy Service Providers
Pharmacist
CARPH 32679

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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