Janwatanagool, Wanna

Janwatanagool, Wanna is an individual health care provider with primary practice located at 12345 Saint Charles Rock Rd , Bridgeton MO 63044-2505. She recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as her primary health care specialty. Janwatanagool, Wanna can be contacted via phone (314) 770-2479.

Contact Information

Primary practice address
12345 Saint Charles Rock Rd Bridgeton MO 63044-2505
Phone: (314) 770-2479
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 044975 Missouri

Profile Details

NPI number 1245514819
LBN Legal business name Janwatanagool, Wanna
Credentials PHARMD
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 30th, 2011
Last updated Sep 30th, 2011 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1245514819 NPPES
Missouri Other 044975 PHARMACIST MISSOURI LICENSE

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