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Michael Phan, Pharm.D.

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

NPI number1770057713
StatusActive
Last updated in NPPESApr 29, 2020

Details

NPI
1770057713
Entity type
Individual (NPI-1)
Name
Michael Phan
Credential
Pharm.D.
Sex
Male
Sole proprietor
Yes
Enumeration date
Jan 12, 2019
Certification date
Apr 29, 2020
Last updated
Apr 29, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
183500000X Pharmacist79118CAYes

Practice location

9401 Jeronimo Rd
Irvine, CA 92618-1908

Phone 714-516-5437

Mailing address

9401 Jeronimo Rd
Irvine, CA 92618-1908

Phone 714-516-5437

Other practice locations

25326 Cassandra Ct
Mission Viejo, CA 92691-3707

Phone 949-331-5285

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