Muongpack, Dan

Muongpack, Dan is an individual health care provider with primary practice located at 441 N Val Vista Dr , Mesa AZ 85213-7001. He recently has 2 registered licenses in different health care specialties including Pharmacy Service Providers / Pharmacist, Pharmacy Service Providers / Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist. Pharmacy Service Providers / Pharmacist is his primary health care specialty. Muongpack, Dan can be contacted via phone (480) 830-5185.

Contact Information

Primary practice address
441 N Val Vista Dr Mesa AZ 85213-7001
Phone: (480) 830-5185
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X RPH-0016312 Oregon
Pharmacy Service Providers / Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X RPH-0016312 Oregon
Pharmacy Service Providers / Pharmacist 183500000X S025773 Arizona

Profile Details

NPI number 1649793183
LBN Legal business name Muongpack, Dan
Credentials PHARMD
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 17th, 2017
Last updated May 4th, 2022 - about 2 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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