Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Boonsanong Ann Lucktong

Individual provider Ambulatory Care Pharmacist · NPI 1114495090

Boonsanong Ann Lucktong is an Ambulatory Care Pharmacist in Roanoke, Virginia. Licensed in Virginia. Registered with an NPI since 2018.

Licensed in
VA
In the registry since
2018
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Practice location Address checks out

1906 Belleview Ave SE
Roanoke, VA 24014-1838
Phone: (540) 266-6288
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Ambulatory Care Pharmacist (primary) Taxonomy 1835P2201X · Licence 0202206409 (VA)

Record details

NPI number1114495090
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedNovember 8, 2018
Last updated in NPPESNovember 8, 2018