Robert Phung, PharmD
Pharmacist in Surprise, AZ. Individual provider (NPI-1).
NPI number1164056065
StatusActive
Last updated in NPPESFeb 28, 2020
Details
- NPI
- 1164056065
- Entity type
- Individual (NPI-1)
- Name
- Robert Phung
- Credential
- PharmD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Feb 28, 2020
- Certification date
- Feb 28, 2020
- Last updated
- Feb 28, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 183500000X | Pharmacist | S023738 | AZ | Yes |
Practice location
15474 W Greenway Rd # SurpriseSurprise, AZ 85374-4348
Phone 623-584-1964
Mailing address
11831 164th StNorwalk, CA 90650-7242
Phone 626-662-4271
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