Long Phan
NPI #1932712296 in Middletown, Kentucky
Provider Information
- NPI Number
- 1932712296
- Entity Type
- Individual
- Name
- Long Phan
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Pharmacist
- Enumeration Date
- Aug 26, 2020
- Last Updated
- Aug 26, 2020
Practice Location
- Address
- 12101 SHELBYVILLE RD
- City
- Middletown
- State
- Kentucky
- ZIP Code
- 40243-1044
- Phone
- (502) 244-7037
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacist |
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