PHONG PHAN

COACHELLA, CA
NPI1710518915
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy183500000X Pharmacist
(Licence: CA  80481)
Enumeration Date2020-01-28
Last Update Date2020-01-28
Business Address
PHONG PHAN Pharm.D
84 010 AVENUE 50
COACHELLA, CA 92236
Phone number: 760-391-5656
Mailing Address
PHONG PHAN Pharm.D
1124 S ARAPAHO DR
SANTA ANA, CA 92704-2407
Phone number: 714-623-6607
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