Individual
HAI MINH KOULABOUD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARM D.
Contact information
Practice address
2024 N ROCK RD, T-2448, DERBY, KS 67037-3752
(316) 448-4554
(316) 448-4564
Mailing address
2024 N ROCK RD, T-2448, DERBY, KS 67037-3752
(316) 448-4554
(316) 448-4564
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
1-14348
KS
Other
Enumeration date
06/06/2011
Last updated
08/20/2011
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