KHANTHALY PHOMMATA

Pharmacy Technician

Active Individual
NPI: 1225757065

Practice Address

2101 E SANTA FE ST
Olathe, KS 66062

Phone: (913) 782-2323

Specialties

Specialty Code Primary License
Pharmacy Technician 183700000X Yes 14-100562 (KS)

Frequently Asked Questions

NPI 1225757065 is the National Provider Identifier for KHANTHALY PHOMMATA, a Pharmacy Technician provider located in Olathe, KS. This NPI was enumerated on August 24, 2022.
KHANTHALY PHOMMATA practices at 2101 E SANTA FE ST, Olathe, KS 66062.

Quick Facts

NPI
1225757065
Type
Individual
Enumerated
Aug 24, 2022
Last Updated
Aug 24, 2022

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