Individual
DR. KIM LOAN PHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
1401 VETERANS BLVD, METAIRIE, LA 70005-2734
(504) 834-1570
(504) 833-9148
Mailing address
1401 VETERANS BLVD, METAIRIE, LA 70005-2734
(504) 834-1570
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PST.025535
LA
Other
Enumeration date
10/28/2024
Last updated
10/28/2024
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