Individual
DAO B KHA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
6280 HIGHWAY 3, BENTON, LA 71006-3492
(318) 965-3669
(318) 965-3670
Mailing address
6280 HIGHWAY 3, BENTON, LA 71006-3492
(318) 965-3669
(318) 965-3670
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
15545
LA
Other
Enumeration date
06/19/2015
Last updated
06/19/2015
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