ETHAN TAN PHAN

NAMPA, ID
NPI1629805833
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy183500000X Pharmacist
(Licence: ID  3061173)
Enumeration Date2024-09-19
Last Update Date2024-09-19
Business Address
ETHAN TAN PHAN PharmD
9850 W ST LUKES DR
NAMPA, ID 83687-7912
Phone number: 208-381-6161
Mailing Address
ETHAN TAN PHAN PharmD
9850 W ST LUKES DR
NAMPA, ID 83687-7912
Phone number: 208-381-6161
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