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1295568632
LUAN PHAN
OMAHA, NE
NPI
1295568632
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
183500000X Pharmacist
(Licence: NE 18370)
Enumeration Date
2024-08-21
Last Update Date
2024-08-21
Business Address
LUAN PHAN PharmD
3005 LAKE ST
OMAHA, NE 68111-3780
Phone number: 402-451-7201
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Mailing Address
LUAN PHAN PharmD
12725 NEBRASKA AVE
OMAHA, NE 68164-1396
Phone number: 402-617-2159
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