Hoang Dung Phan

NPI #1790388361 in Waco, Texas

Provider Information

NPI Number: 1790388361
Entity Type: Individual
Name: Hoang Dung Phan
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Pharmacist
Enumeration Date: Nov 17, 2020
Last Updated: Nov 17, 2020

Practice Location

Address: 2301 E WACO DR
City: Waco
State: Texas
ZIP Code: 76705-3207
Phone: (254) 799-5412

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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