Individual
QUANG PHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
101 2ND AVE, APT 505, DES MOINES, IA 50309-4782
(515) 306-0808
Mailing address
101 2ND AVE, APT 505, DES MOINES, IA 50309-4782
(515) 306-0808
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
22574
IA
Other
Enumeration date
08/26/2015
Last updated
08/26/2015
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