Truc Mong Phan
NPI #1497588115 in Gilroy, California
Provider Information
- NPI Number
- 1497588115
- Entity Type
- Individual
- Name
- Truc Mong Phan
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Pharmacist
- Enumeration Date
- Aug 20, 2024
- Last Updated
- Aug 20, 2024
Practice Location
- Address
- 800 1ST ST
- City
- Gilroy
- State
- California
- ZIP Code
- 95020-4976
- Phone
- (408) 842-0373
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacist |
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