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Khanthaly Phommata
Pharmacy Technician in Olathe, Kansas
NPI 1225757065

Khanthaly Phommata is a Pharmacy Technician based in Gardner, KS. Khanthaly Phommata practices in Olathe, KS. The NPI Number for Khanthaly Phommata is 1225757065 and holds a License No. 14-100562 (Kansas).

The current practice location address for Khanthaly Phommata is 2101 E Santa Fe St, Olathe, KS and can be reached out via phone at 913-782-2323.

Location: 2101 E Santa Fe St, Olathe, KS, 66030-8406
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1225757065
Provider Name
Khanthaly Phommata
Credential
Provider Entity Type
Individual
Gender
Female
Address
2101 E Santa Fe St, Olathe, KS, 66030-8406
Phone Number
913-782-2323
Fax Number
Provider Enumeration Date
08/24/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2101 E Santa Fe St
City
Olathe
State
Kansas
Zip
66062-1606
Phone Number
913-782-2323
Fax Number
person
Provider Business Mailing Address Details
Address
2101 E Santa Fe St
City
Olathe
State
Kansas
Zip
66062-1606
Phone Number
913-782-2323
Fax Number
person
Provider's Taxonomy Details 1
Type
Pharmacy Service Providers
Classification
Pharmacy Technician
Speciality
-
Taxonomy
183700000X
License No.
14-100562 (Kansas)
Definition
A person who works under the direct supervision of a licensed pharmacist and performs many pharmacy-related functions that do not require the professional judgment of a pharmacist.
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