Individual
LUAT DINH PHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
500 FOOTHILL BLVD, ATTENTION: 119, SALT LAKE CITY, UT 84148-0001
(801) 582-1565
Mailing address
500 FOOTHILL BLVD, ATTENTION: 119, SALT LAKE CITY, UT 84148-0001
(801) 582-1565
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
39360
TX
Other
Enumeration date
12/16/2015
Last updated
12/16/2015
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