Liem Phan

NPI #1881015576 in Holly Hill, Florida

Provider Information

NPI Number: 1881015576
Entity Type: Individual
Name: Liem Phan
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pharmacist
Enumeration Date: Dec 23, 2013
Last Updated: Dec 28, 2013

Practice Location

Address: 1340 RIDGEWOOD AVE
City: Holly Hill
State: Florida
ZIP Code: 32117-2320
Phone: (386) 615-5079

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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