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

Juthamat Fuangthaisong

Individual provider Pharmacist · NPI 1790441715

Juthamat Fuangthaisong is a Pharmacist in Brookhaven, Pennsylvania. Practices as a sole proprietor. Licensed in Pennsylvania.

Licensed in
PA
In the registry since
2021

Practice location Address checks out

4098 Edgmont Ave
Brookhaven, PA 19015-2211
Phone: (610) 876-8815
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence RP455507 (PA)

Record details

NPI number1790441715
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedNovember 14, 2021
Last updated in NPPESNovember 14, 2021
Certification dateNovember 14, 2021

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