TIEU-VAN P PHAN

MEDFORD, OR
NPI1942553805
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy183500000X Pharmacist
(Licence: OR  RPH-0013380)
Enumeration Date2012-10-17
Last Update Date2012-10-17
Business Address
TIEU-VAN P PHAN PHARMD
2280 W MAIN ST
MEDFORD, OR 97501-2210
Phone number: 541-779-1109
Mailing Address
TIEU-VAN P PHAN PHARMD
2280 W MAIN ST
MEDFORD, OR 97501-2210
Phone number: 541-779-1109
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