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1174095194
THI HAI DUONG PHAN
IRVINE, CA
NPI
1174095194
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Former Name
HAI DUONG PHAN
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
3336C0003X Pharmacy, Community/Retail Pharmacy
(Licence: CA 77808)
Enumeration Date
2019-01-02
Last Update Date
2019-01-02
Business Address
THI HAI DUONG PHAN
4200 TRABUCO RD
IRVINE, CA 92620-3600
Phone number: 949-861-3170
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Mailing Address
THI HAI DUONG PHAN
308 TONOPAH AVE
LA PUENTE, CA 91744-3532
Phone number: 626-757-3481
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