DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

KHANTHALY PHOMMATA

Active

KHANTHALY PHOMMATA is a Pharmacy Technician healthcare provider located in OLATHE, Kansas. NPI 1225757065 is currently active in the NPPES registry. Verify at CMS.

Pharmacy Technician · OLATHE, KS

Registration Details

NPI Number
1225757065
Provider Type
Individual
Gender
Female
NPI Issued
Aug 24, 2022 (3.9899070912718 yrs)
Last Updated
Aug 24, 2022
License
14-100562 (KS)

Practice Information

Address
2101 E SANTA FE ST
OLATHE, KS, 660621606
Browse KS providers · Browse ZIP 66062
Phone
9137822323
Primary Specialty
Pharmacy Technician
183700000X
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.