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

Mr. Nuttachai Thanaethanapong

Individual provider Pharmacist · NPI 1366005266

Mr. Nuttachai Thanaethanapong is a Pharmacist in Canyon Country, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2019

Practice location Address checks out

19424 Soledad Canyon Rd
Canyon Country, CA 91351-2631
Phone: (661) 251-5444
Show map & directions

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

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence 42808 (CA)

Record details

NPI number1366005266
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedApril 16, 2019
Last updated in NPPESApril 16, 2019

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