Tho Nguyen Phan

NPI #1982069605 in Lancaster, Texas

Provider Information

NPI Number: 1982069605
Entity Type: Individual
Name: Tho Nguyen Phan
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Pharmacist
Enumeration Date: Dec 22, 2015
Last Updated: Dec 22, 2015

Practice Location

Address: 350 N BLUEGROVE RD
City: Lancaster
State: Texas
ZIP Code: 75146-2901
Phone: (214) 459-9922

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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