Individual
PHUC TRIEU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
8101 W 151ST ST, OVERLAND PARK, KS 66223-2113
(913) 638-3159
Mailing address
15521 S HUNTER ST, OLATHE, KS 66062-4033
(913) 638-3159
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
1-16821
KS
183700000X
Pharmacy Technician
2011023368
MO
183700000X
Pharmacy Technician
3-06275
KS
Other
Enumeration date
03/21/2015
Last updated
06/30/2015
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