Individual
KHENH VONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD, BCPS
Contact information
Practice address
6900 PECOS RD, NORTH LAS VEGAS, NV 89086-4400
(702) 791-9000
Mailing address
6900 PECOS RD, NORTH LAS VEGAS, NV 89086-4400
(702) 791-9000
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
17701
NV
1835P1200X
Pharmacotherapy Pharmacist
Primary
17701
NV
1835P1200X
Pharmacotherapy Pharmacist
64999
CA
Other
Enumeration date
10/26/2009
Last updated
03/10/2016
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