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Souksavanh Phaengkhouane, PHARMD
Pharmacist in Brainerd, Minnesota
NPI 1760877138

Souksavanh Phaengkhouane is a Pharmacist based in Brainerd, MN. Souksavanh Phaengkhouane practices in Brainerd, MN and has the professional credentials of PHARMD. The NPI Number for Souksavanh Phaengkhouane is 1760877138 and holds a License No. 121927 (Minnesota).

The current practice location address for Souksavanh Phaengkhouane is 108 S 6Th St, Brainerd, MN and can be reached out via phone at 218-829-0347.

Location: 108 S 6Th St, Brainerd, MN, 56401-3575
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1760877138
Provider Name
Souksavanh Phaengkhouane
Credential
PHARMD
Provider Entity Type
Individual
Gender
Male
Address
108 S 6Th St, Brainerd, MN, 56401-3575
Phone Number
218-829-0347
Fax Number
Provider Enumeration Date
04/02/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
108 S 6Th St
City
Brainerd
State
Minnesota
Zip
56401-3575
Phone Number
218-829-0347
Fax Number
person
Provider Business Mailing Address Details
Address
108 S 6Th St
City
Brainerd
State
Minnesota
Zip
56401-3575
Phone Number
218-829-0347
Fax Number
person
Provider's Taxonomy Details 1
Type
Pharmacy Service Providers
Classification
Pharmacist
Speciality
-
Taxonomy
183500000X
License No.
121927 (Minnesota)
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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