Peter Phu Phan

NPI #1437769569 in Edgewater, Maryland

Provider Information

NPI Number: 1437769569
Entity Type: Individual
Name: Peter Phu Phan
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pharmacist
Enumeration Date: Aug 4, 2020
Last Updated: Aug 4, 2020

Practice Location

Address: 3106 SOLOMONS ISLAND RD
City: Edgewater
State: Maryland
ZIP Code: 21037-1701
Phone: (410) 956-8319

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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