Dao B Kha, RPH

Individual provider Active NPI Pharmacist · Benton, LA

NPI 1669854253 · NPPES record last updated Jun 19, 2015

Key facts

NPI
1669854253
Entity type
Individual (NPI type 1)
Primary specialty
Pharmacist 183500000X
License
15545 (LA)
Practice address
6280 Highway 3
Benton, LA 71006-3492
Phone
(318) 965-3669
Fax
(318) 965-3670
NPI assigned
Jun 19, 2015
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
15545LAMDPharmacist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 15545 LA Yes

Addresses

Primary practice location

6280 Highway 3
Benton, LA 71006-3492

Mailing address

6280 Highway 3
Benton, LA 71006-3492
Phone (318) 965-3669

Other providers in Benton, LA

All providers in Benton, LA · Pharmacist in Louisiana

Sources for this page

Verify at the official NPI Registry.