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NPI Code Detail

MEDICARE: NITNARA VIROONCHATAPAN

MEDICARE: NITNARA VIROONCHATAPAN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacist57107CA

General Provider Information

NPI Number : 1588036990
Entity Type Code : Individual
Provider Name (Legal Business Name) : NITNARA VIROONCHATAPAN
Provider Business Mailing Address
First Line : 4615 FRAZEE RD
Second Line :
City : OCEANSIDE
State : CA
Zip : 92057-6100
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 4615 FRAZEE RD
Second Line :
City : OCEANSIDE
State : CA
Zip : 92057-6100
Country : US
Telephone Number : 760-433-9597
Fax Number : 760-433-9862
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/24/2015
Last Update Date : 10/24/2015

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Directions to “ NITNARA VIROONCHATAPAN ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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