MEDICARE: KENDA KHALIL RPH

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
1	183500000X	Pharmacist	47369	TX

General Provider Information

NPI Number	:	1932598224
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KENDA KHALIL RPH

Provider Business Mailing Address
First Line	:	2222 MARONEAL ST
Second Line	:	SUITE 345
City	:	HOUSTON
State	:	TX
Zip	:	77030-3242
Country	:	US
Telephone Number	:	713-894-6760
Fax Number	:

Provider Business Practice Location Address
First Line	:	2222 MARONEAL ST
Second Line	:	SUITE 345
City	:	HOUSTON
State	:	TX
Zip	:	77030-3242
Country	:	US
Telephone Number	:	713-894-6760
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/09/2015
Last Update Date	:	01/09/2015

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