JUSTIN PHAN

FOUNTAIN VALLEY, CA
NPI1700317229
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy183500000X Pharmacist
(Licence: CA  55461)
Enumeration Date2017-03-26
Last Update Date2017-03-26
Business Address
-- JUSTIN PHAN
10925 GOLDENEYE AVE
FOUNTAIN VALLEY, CA 92708-6012
Phone number: 714-487-9265
Mailing Address
-- JUSTIN PHAN
10925 GOLDENEYE AVE
FOUNTAIN VALLEY, CA 92708-6012
Phone number: 714-487-9265