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1407456551
PHUONG T PHAN
PORTLAND, OR
NPI
1407456551
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
183500000X Pharmacist
(Licence: OR RPH-0018092)
Enumeration Date
2020-10-28
Last Update Date
2020-10-28
Business Address
PHUONG T PHAN PharmD
8122 SE TIBBETTS ST
PORTLAND, OR 97206-1768
Phone number: 503-255-1111
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Mailing Address
PHUONG T PHAN PharmD
5108 SW SCHOLLS FERRY RD APT D101
PORTLAND, OR 97225-1672
Phone number: 571-405-9079
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