Individual
PHAT KIM QUACH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARM D
Contact information
Practice address
1400 N BROAD ST, NEW ORLEANS, LA 70119-2332
(504) 309-4388
(504) 309-4389
Mailing address
1400 N BROAD ST, NEW ORLEANS, LA 70119-2332
(504) 309-4388
(504) 309-4389
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
17260
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
17260
PHARMACIST LICENSE'S NUMBER
LA
Enumeration date
11/09/2020
Last updated
11/09/2020
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