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1770057713
MICHAEL PHAN
IRVINE, CA
NPI
1770057713
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
183500000X Pharmacist
(Licence: CA 79118)
Enumeration Date
2019-01-12
Last Update Date
2020-04-29
Business Address
MICHAEL PHAN Pharm.D.
9401 JERONIMO RD
IRVINE, CA 92618-1908
Phone number: 714-516-5437
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Mailing Address
MICHAEL PHAN Pharm.D.
9401 JERONIMO RD
IRVINE, CA 92618-1908
Phone number: 714-516-5437
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