Sim T Kongdara PHARMD

NPI 1164759007 - Pharmacist - 183500000X

NPI Details
NPI 1164759007
Gender Male
Enumeration Date 11/13/2009
Last Updated 11/17/2009
Entity Type Individual
Active Over 7 years ago
Practice Location
5921 HILLSIDE RD
AMARILLO TX, 79109-6294, US
Phone (806) 463-1057
Fax (806) 463-3256
Business Location
6204 LANDON DR
AMARILLO TX, 79119-6551, US
Phone (806) 352-0382
Fax
Toxanomy
Taxonomy Code 183500000X
License State Texas
License Number 43517
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According to our database, Dr. Sim T Kongdara PHARMD NPI is 1164759007, taxonomy code is 183500000X and license number is 43517, license state is located at Texas. Sim T Kongdara PHARMD physically located at 5921 Hillside Rd, Amarillo TX, 79109-6294. NPI Number Sim T Kongdara PHARMD has the Individual type.

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1164759007 NPI number is provided on an as is basis without warranty of any kind. 1164759007 is maintained by the National Plan & Provider Enumeration System. The contents of Sim T Kongdara PHARMD are for informational purposes only.