Provider Demographics
NPI:1124651757
Name:LOI, SON NHUT (RPH)
Entity type:Individual
Prefix:
First Name:SON
Middle Name:NHUT
Last Name:LOI
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1700 N 14TH AVE
Mailing Address - Street 2:
Mailing Address - City:DODGE CITY
Mailing Address - State:KS
Mailing Address - Zip Code:67801-3413
Mailing Address - Country:US
Mailing Address - Phone:620-225-6140
Mailing Address - Fax:
Practice Address - Street 1:1700 N 14TH AVE
Practice Address - Street 2:
Practice Address - City:DODGE CITY
Practice Address - State:KS
Practice Address - Zip Code:67801-3413
Practice Address - Country:US
Practice Address - Phone:620-225-6140
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-02-21
Last Update Date:2020-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO20180280081835P0018X
AZS0233601835P0018X
KS1-1077811835P0018X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist