Dr. Khanh DO, Pharm D
Pharmacist in Rogers, AR. Individual provider (NPI-1).
NPI number1164023966
StatusActive
Last updated in NPPESNov 6, 2020
Details
- NPI
- 1164023966
- Entity type
- Individual (NPI-1)
- Name
- Dr. Khanh DO
- Credential
- Pharm D
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Nov 6, 2020
- Certification date
- Nov 6, 2020
- Last updated
- Nov 6, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 183500000X | Pharmacist | pd12844 | AR | Yes |
Practice location
808 W Walnut StRogers, AR 72756-3538
Phone 479-202-7197
Mailing address
1838 N High AveFayetteville, AR 72704-6779
Phone 501-655-9935
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