Khanthaly Phommata
Khanthaly Phommata is a Pharmacy Technician in Olathe, Kansas. Licensed in Kansas. Registered with an NPI since 2022.
- Licensed in
- KS
- In the registry since
- 2022
Practice location Address checks out
2101 E Santa Fe StOlathe, KS 66062-1606
Phone: (913) 782-2323
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Pharmacy Technician (primary) | Taxonomy 183700000X · Licence 14-100562 (KS) |
|---|
Record details
| NPI number | 1225757065 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | August 24, 2022 |
| Last updated in NPPES | August 24, 2022 |
| Certification date | August 24, 2022 |
| Mailing address | 1034 E Cottage Creek Cir, Gardner, KS 66030-8406 |