Phong Mai

NPI #1063943553 in San Pedro, California

Provider Information

NPI Number: 1063943553
Entity Type: Individual
Name: Phong Mai
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Pharmacist
Enumeration Date: Mar 25, 2017
Last Updated: Mar 25, 2017

Practice Location

Address: 700 S GAFFEY ST
City: San Pedro
State: California
ZIP Code: 90731-3029
Phone: (310) 514-2003

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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