Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
PETER KHONG, PHARMACIST
Active Sole ProprietorLong-Term Care Pharmacy · MANDEVILLE, LA
Registration Details
- NPI Number
- 1104477256
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 20, 2019 (6.584214020372 yrs)
- Last Updated
- Sep 20, 2019
- License
-
023215 (LA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2915 US-190MANDEVILLE, LA, 70461Browse LA providers · Browse ZIP 70461
- Phone
- 9856268106
- Primary Specialty
-
Long-Term Care Pharmacy
3336C0003X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.