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1003937681
HIEU PHUNG
LOMA LINDA, CA
NPI
1003937681
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
183500000X Pharmacist
(Licence: NV 15176)
Enumeration Date
2007-04-02
Last Update Date
2007-11-01
Business Address
Mr. HIEU PHUNG RPh
11201 BENTON STREET
LOMA LINDA, CA 92357
Phone number: 800-741-8387
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Mailing Address
Mr. HIEU PHUNG RPh
PO BOX 12015
NEWPORT BEACH, CA 92658
Phone number: 714-350-9816
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