Amy Phan
NPI #1356622559 in Green Cove Springs, Florida
Provider Information
- NPI Number
- 1356622559
- Entity Type
- Individual
- Name
- Amy Phan
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Pharmacist
- Enumeration Date
- Aug 31, 2011
- Last Updated
- Aug 31, 2011
Practice Location
- Address
- 103 S ORANGE AVE
- State
- Florida
- ZIP Code
- 32043-4127
- Phone
- (904) 529-9156
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacist |
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