Individual
KHOA KHAC DO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM.D.
Contact information
Practice address
791 MARKS ST, HENDERSON, NV 89014-8601
(702) 352-2030
Mailing address
2104 RHONDA TER, HENDERSON, NV 89074-0651
(714) 206-0349
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
16928
NV
Other
Enumeration date
07/04/2006
Last updated
07/08/2007
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