Most Relevant Information
Provider Data
| NPI Number: | 1003450313 |
| Provider Name: | HIEU KHUC PHARM.D |
| Entity Type: | Individual |
| Taxonomy Code: | 183500000X |
| Specialty: | Pharmacist |
| License Number: | PS41512 |
Most Important Dates
| Enumeration Date: | 10/30/2019 |
| Last Updated: | 03/16/2021 |
Provider Practice Location
5810 RANCH LAKE BLVD
BRADENTON
FL
342023708
Practice Location Phone/Fax
| Phone: | 9417995545 |
| Fax: |
Provider Mailing Location
5810 RANCH LAKE BLVD
BRADENTON
FL
342023708
Provider Mailing Phone/Fax
| Phone: | 9417995545 |
| Fax: |