THI HAI DUONG PHAN

IRVINE, CA
NPI1174095194
Former NameHAI DUONG PHAN
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy3336C0003X Pharmacy, Community/Retail Pharmacy
(Licence: CA  77808)
Enumeration Date2019-01-02
Last Update Date2019-01-02
Business Address
THI HAI DUONG PHAN
4200 TRABUCO RD
IRVINE, CA 92620-3600
Phone number: 949-861-3170
Mailing Address
THI HAI DUONG PHAN
308 TONOPAH AVE
LA PUENTE, CA 91744-3532
Phone number: 626-757-3481