Wasien Arthur Phungkusol
Wasien Arthur Phungkusol is a Pharmacist in Rancho Cucamonga, California. Licensed in California. Registered with an NPI since 2019.
- Licensed in
- CA
- In the registry since
- 2019
Practice location Address checks out
7555 Marmande PlRancho Cucamonga, CA 91730-6752
Phone: (909) 851-8951
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Specialties & licences
| Pharmacist (primary) | Taxonomy 183500000X · Licence 81619 (CA) |
|---|
Record details
| NPI number | 1801434576 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | December 12, 2019 |
| Last updated in NPPES | December 12, 2019 |
| Certification date | December 12, 2019 |
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