Thao Thanh Phan, RPH

NPI #1790403558 in Gretna, Nebraska

Provider Information

NPI Number
1790403558
Entity Type
Individual
Name
Thao Thanh Phan, RPH
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Pharmacist
Credential
RPH
Enumeration Date
Aug 18, 2022
Last Updated
Aug 18, 2022

Practice Location

Address
11350 WICKERSHAM BLVD
City
Gretna
ZIP Code
68028-6979
Phone
(402) 881-3687

Specialties & Taxonomy Codes

Specialty
Pharmacist

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