BOONSANONG ANN LUCKTONG NPI 1114495090

NPI Information

NPI: 1114495090
Provider Name: BOONSANONG ANN LUCKTONG
Classification: Pharmacist - 1835P2201X
Entity Type: Individual

Specialization: Ambulatory Care

Address:
1906 BELLEVIEW AVE SE
ROANOKE, VA
ZIP 24014
Phone: (540) 266-6288
Get Directions

Boonsanong Ann Lucktong is an ambulatory care pharmacist in Roanoke, VA. The provider is a licensed pharmacist who has demonstrated specialized knowledge and skill in the provision of integrated, accessible health care services by pharmacists and is accountable for addressing medication needs, developing sustained partnerships with patients, and practicing in the context of family and community. Boonsanong Ann Lucktong NPI is 1114495090. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1906 BELLEVIEW AVE SE
ROANOKE, VA
ZIP 24014-838
Phone: (540) 266-6288

The enumeration date for this NPI number is 11/8/2018 and was last updated on 11/8/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	1835P2201X	Pharmacist	Ambulatory Care	0202206409	VIRGINIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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