KY THAN

SLIDELL, LA
NPI1033544127
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy183500000X Pharmacist
(Licence: LA  020292)
Enumeration Date2013-09-07
Last Update Date2014-08-19
Business Address
Dr. KY THAN PharmD
167 NORTHSHORE BLVD
SLIDELL, LA 70460-6836
Phone number: 985-690-0128
Mailing Address
Dr. KY THAN PharmD
167 NORTHSHORE BLVD
SLIDELL, LA 70460-6836
Phone number: 985-690-0128