DR. Khanh Ta

NPI #1164839445 in Suwanee, Georgia

Provider Information

NPI Number: 1164839445
Entity Type: Individual
Name: DR. Khanh Ta
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Pharmacist
Enumeration Date: Jul 17, 2014
Last Updated: Jul 17, 2014

Practice Location

Address: 2075 LAWRENCEVILLE SUWANEE RD
City: Suwanee
State: Georgia
ZIP Code: 30024-2645
Phone: (678) 377-5258

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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