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Individual
PHUONG T LY
Active
Individual
PHUONG T LY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMACIST
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH84344
CA
Other
Enumeration date
07/22/2021
Last updated
07/22/2021
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