Individual
ANH PHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4150 N ATLANTIC AVE, COCOA BEACH, FL 32931-3510
(321) 799-9112
Mailing address
4150 N ATLANTIC AVE, COCOA BEACH, FL 32931-3510
(321) 799-9112
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PS55879
FL
Other
Enumeration date
04/02/2021
Last updated
04/07/2021
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