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Dr. Chiangchanh Phothisane, PHARMD
Pharmacist in Montgomery, Alabama
NPI 1760856652

Chiangchanh Phothisane is a Pharmacist based in Wetumpka, AL. Chiangchanh Phothisane practices in Montgomery, AL and has the professional credentials of PHARMD. The NPI Number for Chiangchanh Phothisane is 1760856652 and holds a License No. 14442 (Alabama).

The current practice location address for Chiangchanh Phothisane is 1080 Eastern Blvd, Montgomery, AL and can be reached out via phone at 334-277-5454 and via fax at 334-277-6252.

Location: 1080 Eastern Blvd, Montgomery, AL, 36093-3920
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1760856652
Provider Name
Chiangchanh Phothisane
Credential
PHARMD
Provider Entity Type
Individual
Gender
Female
Address
1080 Eastern Blvd, Montgomery, AL, 36093-3920
Phone Number
334-277-5454
Fax Number
334-277-6252
Provider Enumeration Date
11/16/2015
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
14442 01 AL STATE LICENSE
institution
Provider Business Practice Location Address Details
Address
1080 Eastern Blvd
City
Montgomery
State
Alabama
Zip
36117-1919
Phone Number
334-277-5454
Fax Number
334-277-6252
person
Provider Business Mailing Address Details
Address
1080 Eastern Blvd
City
Montgomery
State
Alabama
Zip
36117-1919
Phone Number
334-277-5454
Fax Number
334-277-6252
person
Provider's Taxonomy Details 1
Type
Pharmacy Service Providers
Classification
Pharmacist
Speciality
-
Taxonomy
183500000X
License No.
14442 (Alabama)
Definition
An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.
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