THAO NGUYEN THI PHAN

EDMOND, OK
NPI1417239773
Professional NameTINA PHAN
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy183500000X Pharmacist
(Licence: OK  13346)
Enumeration Date2011-09-13
Last Update Date2011-09-13
Business Address
DR. THAO NGUYEN THI PHAN PHARM D.
15100 N WESTERN AVE
EDMOND, OK 73013-1108
Phone number: 405-330-3742
Mailing Address
DR. THAO NGUYEN THI PHAN PHARM D.
3605 NW 175TH ST
EDMOND, OK 73012-6901
Phone number: 405-513-2037