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1124552252
DEREK PHAN
OAKLAND, CA
NPI
1124552252
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
183500000X Pharmacist
(Licence: CA 75061)
Enumeration Date
2017-04-15
Last Update Date
2017-04-15
Business Address
-- DEREK PHAN
3701 BROADWAY
OAKLAND, CA 94611-5613
Phone number: 510-752-4148
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Mailing Address
-- DEREK PHAN
3701 BROADWAY
OAKLAND, CA 94611-5613
Phone number:
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