Individual
DR. PHONG CHAN LIEU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
4363 PACIFIC ST, ROCKLIN, CA 95677-2117
(916) 632-7560
Mailing address
4363 PACIFIC ST, ROCKLIN, CA 95677-2117
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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