Long G Phan, PHARMACIST

NPI #1619260197 in Vancouver, Washington

Provider Information

NPI Number: 1619260197
Entity Type: Individual
Name: Long G Phan, PHARMACIST
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pharmacist
Credential: PHARMACIST
Enumeration Date: May 17, 2011
Last Updated: May 17, 2011

Practice Location

Address: 2800 NE 162ND AVE
City: Vancouver
State: Washington
ZIP Code: 98682-8504
Phone: (360) 253-5613

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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