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NPI Code Detail

MEDICARE: KHOI HA PLLC

MEDICARE: KHOI HA PLLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
13336C0003XCommunity/Retail Pharmacy

General Provider Information

NPI Number : 1508333899
Entity Type Code : Organization
Provider Name (Legal Business Name) : KHOI HA PLLC
Provider Business Mailing Address
First Line : 3175 SAINT ROSE PKWY STE 120
Second Line :
City : HENDERSON
State : NV
Zip : 89052-3507
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3175 SAINT ROSE PKWY STE 120
Second Line :
City : HENDERSON
State : NV
Zip : 89052-3507
Country : US
Telephone Number : 702-967-0500
Fax Number :
Authorized Official
Title or Position : OWNER
Name : KHOI HA
Credential :
Telephone Number : 702-967-0500
Provider Enumeration Date : 10/25/2018
Last Update Date : 10/25/2018

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