Phuc Phan

NPI #1093052904 in Weston, Florida

Provider Information

NPI Number: 1093052904
Entity Type: Individual
Name: Phuc Phan
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pharmacist
Enumeration Date: Jan 11, 2013
Last Updated: Jan 11, 2013

Practice Location

Address: 4567 WESTON RD
City: Weston
State: Florida
ZIP Code: 33331-3141
Phone: (954) 217-3067

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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