Individual
ANDY PHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
407 N SHERMAN AVE, LIBERAL, KS 67901-3246
(620) 417-7230
(620) 417-7233
Mailing address
412 N. WESTERN AVE., LIBERAL, KS 67901
(620) 417-7230
(620) 417-7233
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
1-17013
KS
Other
Enumeration date
09/30/2015
Last updated
09/30/2015
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