MINH DUC PHAN

LODI, CA
NPI1174148662
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy183500000X Pharmacist
(Licence: CA  60175)
Enumeration Date2020-06-10
Last Update Date2020-06-10
Business Address
-- MINH DUC PHAN
975 S FAIRMONT AVE
LODI, CA 95240-5118
Phone number: 209-339-7595
Mailing Address
-- MINH DUC PHAN
10135 TONY CT
STOCKTON, CA 95209-4578
Phone number: 209-406-9980
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