NPI 1225757065

Khanthaly Phommata

Practitioner Pharmacy Technician Olathe, KS

Practice location

Address: 2101 E Santa Fe St, Olathe, KS 66062-1606
Phone: (913) 782-2323
Mailing address: 1034 E Cottage Creek Cir, Gardner, KS 66030-8406

Registered specialties

Pharmacy Technician Primary

Pharmacy Service Providers Taxonomy 183700000X Licence 14-100562 (KS)

Other Pharmacy Technician providers in Kansas →

Registry record

NPI: 1225757065
Entity type: Individual
Sex (as registered): Female
NPI issued: 24 Aug 2022
Record last updated: 24 Aug 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.