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Individual

DR. PHONG CHAN LIEU

Active
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Individual

DR. PHONG CHAN LIEU

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHARMD

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
76315
CA
183500000X
Pharmacist
PH 60473776
WA
1835G0303X
Geriatric Pharmacist
Primary
10624
CA

Other

Enumeration date
06/26/2012
Last updated
08/16/2020
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