IndividualActive
Boon Thanasack
NPI 1679987697 · Pharmacist · Danville, KY
Provider details
- NPI number
- 1679987697
- Entity type
- Individual
- Primary specialty
- PharmacistPharmacy Service Providers
- Sex
- Male
- Sole proprietor
- Yes
- License
- 015233 (KY)
Specialties & taxonomies
Pharmacy Service Providers
Pharmacy Service Providers
Practice location
208 Candlewood Dr
Danville, KY 40422-2902
Phone: (614) 204-1855
Approximate (ZIP-level) locationGet directions
Mailing address
208 Candlewood Dr
Danville, KY 40422-2902
Registry dates
- Enumerated
- 2014-06-18
- Last updated
- 2014-06-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.