Premaskul, Tithiporn

Premaskul, Tithiporn is an individual health care provider with primary practice located at 2799 Route 112 , Medford NY 11763-2535. She recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as her primary health care specialty. Premaskul, Tithiporn can be contacted via phone (631) 758-2800.

Contact Information

Primary practice address
2799 Route 112 Medford NY 11763-2535
Fax: (631) 758-2804
Website:

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 040439-1 New York

Profile Details

NPI number 1235310418
LBN Legal business name Premaskul, Tithiporn
Credentials RPH
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 16th, 2007
Last updated Aug 17th, 2009 - about 16 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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