Douglas Phan

NPI #1063796761 in Artesia, California

Provider Information

NPI Number: 1063796761
Entity Type: Individual
Name: Douglas Phan
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Pharmacist
Enumeration Date: Sep 29, 2011
Last Updated: Sep 29, 2011

Practice Location

Address: 11800 ARTESIA BLVD
City: Artesia
State: California
ZIP Code: 90701-4003
Phone: (562) 924-7718

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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