Individual
DR. BRYAN PHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
2982 WICKHAM CT, RIVERSIDE, CA 92503-8808
(443) 616-6587
Mailing address
2982 WICKHAM CT, RIVERSIDE, CA 92503-8808
(443) 616-6587
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
73877
CA
Other
Enumeration date
11/16/2015
Last updated
11/16/2015
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