TIMOTHY VAN PHAN

ANTIOCH, CA
NPI1043726086
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy183500000X Pharmacist
(Licence: CA  77739)
Enumeration Date2017-12-28
Last Update Date2017-12-28
Business Address
TIMOTHY VAN PHAN
4501 SAND CREEK RD
ANTIOCH, CA 94531-8687
Phone number: 925-813-6500
Mailing Address
TIMOTHY VAN PHAN
4595 WINONA AVE
SAN DIEGO, CA 92115-3332
Phone number:
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