Individual provider · Type 1 NPI
Khanthaly Phommata
Pharmacy Technician · Olathe, KS
NPI number
1225757065
Active
Practice location
2101 E Santa Fe St
Olathe, KS 66062-1606
Mailing address
1034 E Cottage Creek Cir
Gardner, KS 66030-8406
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pharmacy Technician Primary | 183700000X | 14-100562 (KS) |
Pharmacy Technician: 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.
2 other providers at this address
About NPI 1225757065
Khanthaly Phommata's National Provider Identifier is 1225757065, issued on Aug 24, 2022. The primary taxonomy on file is Pharmacy Technician (183700000X), and the practice location is in Olathe, KS. The record was last updated on Aug 24, 2022.