Individual
DR. NGOC-THAO THI PHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
2121 DOUGLAS ST APT 707, WESTBROOK TOWER APT 707, OMAHA, NE 68102-1244
(402) 730-5623
Mailing address
2121 DOUGLAS ST APT 707, WESTBROOK TOWER APT 707, OMAHA, NE 68102-1244
(402) 730-5623
Taxonomy
Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
13680
NE
1835P1200X
Pharmacotherapy Pharmacist
Primary
13680
NE
1835P2201X
Ambulatory Care Pharmacist
13680
NE
Other
Enumeration date
02/07/2017
Last updated
02/07/2017
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