Individual provider · Type 1 NPI

Khanh Ta

Pharmacist · Suwanee, GA

NPI number 1164839445 Active

Practice location

2075 Lawrenceville Suwanee Rd
Suwanee, GA 30024-2645

Mailing address

651 Tower Hill Ct
Lawrenceville, GA 30046-2882

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Primary 183500000XRPH027970 (GA)

Pharmacist: An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage…

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About NPI 1164839445

Khanh Ta's National Provider Identifier is 1164839445, issued on Jul 17, 2014. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Suwanee, GA. The record was last updated on Jul 17, 2014.