Provider Demographics
NPI:1407894983
Name:KHONG, HUYEN-VI THI (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:HUYEN-VI
Middle Name:THI
Last Name:KHONG
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6873 TIGER WALK
Mailing Address - Street 2:
Mailing Address - City:LITTLETON
Mailing Address - State:CO
Mailing Address - Zip Code:80124-9553
Mailing Address - Country:US
Mailing Address - Phone:303-792-2484
Mailing Address - Fax:
Practice Address - Street 1:6873 TIGER WALK
Practice Address - Street 2:
Practice Address - City:LITTLETON
Practice Address - State:CO
Practice Address - Zip Code:80124-9553
Practice Address - Country:US
Practice Address - Phone:303-792-2484
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-06-04
Last Update Date:2007-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO16176183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO16176OtherPHARMACIST LICENSE