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Tuan H Phan

Pharmacist in Los Angeles, CA. Individual provider (NPI-1).

NPI number1407366602
StatusActive
Last updated in NPPESOct 3, 2017

Details

NPI
1407366602
Entity type
Individual (NPI-1)
Name
Tuan H Phan
Sex
Male
Sole proprietor
Yes
Enumeration date
Oct 3, 2017
Last updated
Oct 3, 2017

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
183500000X Pharmacist77222CAYes

Practice location

4414 Yolk Boulevard
Los Angeles, CA 90041

Phone 323-344-4443

Mailing address

4414 York Blvd
Los Angeles, CA 90041-3328

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