Provider Demographics
NPI:1598895666
Name:KEMAKORN, TIPLADA KUNA (RPH)
Entity Type:Individual
Prefix:MS
First Name:TIPLADA
Middle Name:KUNA
Last Name:KEMAKORN
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:MS
Other - First Name:TIPLADA
Other - Middle Name:
Other - Last Name:KUNAKEMAKORN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RPH
Mailing Address - Street 1:485 36TH AVE
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94121-1630
Mailing Address - Country:US
Mailing Address - Phone:530-921-0997
Mailing Address - Fax:
Practice Address - Street 1:1496 MARKET ST
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94102-6004
Practice Address - Country:US
Practice Address - Phone:415-626-9972
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAR.PH 35326183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist