Individual
PHONG JOHN DO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2822 AMBASSADOR CAFFERY PKWY, LAFAYETTE, LA 70506-5906
(337) 216-9399
Mailing address
1100 ROBLEY DR APT 5307, LAFAYETTE, LA 70503-5531
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PST.023182
LA
Other
Enumeration date
02/11/2020
Last updated
02/25/2020
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