Most Relevant Information
Provider Data
| NPI Number: | 1003068305 |
| Provider Name: | SUTTINEE SAGUANDEEKUL RPH |
| Entity Type: | Individual |
| Taxonomy Code: | 183500000X |
| Specialty: | Pharmacist |
| License Number: | RPH 38519 |
Most Important Dates
| Enumeration Date: | 10/17/2008 |
| Last Updated: | 10/17/2008 |
Provider Practice Location
910 DIABLO AVE
NOVATO
CA
94947
Practice Location Phone/Fax
| Phone: | 4158981905 |
| Fax: | 4158985121 |
Provider Mailing Location
82 QUEVA VIS
NOVATO
CA
949472109
Provider Mailing Phone/Fax
| Phone: | 4158990154 |
| Fax: | 4158990154 |