MR. Phi Thuong Phan, PHARM D

NPI #1023614575 in Mansfield, Texas

Provider Information

NPI Number: 1023614575
Entity Type: Individual
Name: MR. Phi Thuong Phan, PHARM D
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Pharmacist
Credential: PHARM D
Enumeration Date: Dec 9, 2020
Last Updated: Dec 9, 2020

Practice Location

Address: 2200 MATLOCK RD
City: Mansfield
State: Texas
ZIP Code: 76063-3855
Phone: (817) 453-0267

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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