CHRISTINE LUU PHAN

POCATELLO, ID
NPI1861065476
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy183500000X Pharmacist
(Licence: ID  P9479)
Enumeration Date2021-07-21
Last Update Date2021-07-21
Business Address
CHRISTINE LUU PHAN
235 S 4TH AVE
POCATELLO, ID 83201-6438
Phone number: 208-233-3341
Mailing Address
CHRISTINE LUU PHAN
4170 HAWTHORNE RD APT A202
POCATELLO, ID 83202-2710
Phone number: 949-683-8823
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