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Individual

KEVIN PHAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHARMD

Contact information

Practice address
420 N VIA VAL VERDE, MONTEBELLO, CA 90640-3038
(626) 227-5372
Mailing address
420 N VIA VAL VERDE, MONTEBELLO, CA 90640-3038

Taxonomy

Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
71632
CA
390200000X
Student in an Organized Health Care Education/Training Program
CA

Other

Enumeration date
03/31/2014
Last updated
02/14/2022
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