Hai Lien Thi Phung, PharmD
Pharmacist in Riverdale, GA. Individual provider (NPI-1).
NPI number1760615314
StatusActive
Last updated in NPPESAug 31, 2009
Details
- NPI
- 1760615314
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Hai Lien Thi Phung
- Credential
- PharmD
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Aug 31, 2009
- Last updated
- Aug 31, 2009
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 183500000X | Pharmacist | RPH023723 | GA | Yes |
Practice location
123 Scarsdale DrRiverdale, GA 30274
Phone 404-259-4541
Mailing address
123 Scarsdale DrRiverdale, GA 30274
Phone 404-259-4541
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