PHUC THANH PHAN

TUSTIN, CA
NPI1356939094
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy183500000X Pharmacist
(Licence: CA  83629)
Enumeration Date2021-01-07
Last Update Date2021-01-07
Business Address
Dr. PHUC THANH PHAN RPH
15180 KENSINGTON PARK DR
TUSTIN, CA 92782-1801
Phone number: 714-259-7625
Mailing Address
Dr. PHUC THANH PHAN RPH
323 N EUCLID ST SPC 119
SANTA ANA, CA 92703-3044
Phone number: 714-510-6596
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