Individual
THU THANH PHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1700 E PALM VALLEY BLVD, ROUND ROCK, TX 78664-4677
(512) 255-0617
Mailing address
14933 LIPTON LN, PFLUGERVILLE, TX 78660-7957
(512) 699-8271
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
100821
TX
Other
Enumeration date
04/17/2021
Last updated
04/17/2021
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