KEVIN TAI PHAN

OXNARD, CA
NPI1629586706
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy183500000X Pharmacist
(Licence: CA  82458)
Additional Taxonomies183500000X Pharmacist
(Licence: TN  43243)
Enumeration Date2018-01-11
Last Update Date2021-11-28
Business Address
KEVIN TAI PHAN
1600 N ROSE AVE
OXNARD, CA 93030-3722
Phone number: 805-988-2735
Mailing Address
KEVIN TAI PHAN
1600 N ROSE AVE
OXNARD, CA 93030-3722
Phone number: 805-988-2735
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