PHAITHOUN KHAMPAPHA
Pharmacy at Nutmeg Ave, Sarasota, FL

License number
Florida 11954
Issued Date
Nov 25, 2009
Effective Date
Dec 15, 2016
Expiration Date
Dec 31, 2018
Category
Health Care
Type
Registered Pharmacy Technician
Address
Address
5808 Nutmeg Ave, Sarasota, FL 34231
Phone
(941) 822-7942
LicenseFiles verified this license of Jun 1, 2017 at the Health Care Practitioner Data Portal.

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