Individual
CECILIA PHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1490 US HIGHWAY 41 BYP S, VENICE, FL 34285-5544
(941) 493-3925
(941) 493-9329
Mailing address
3129 57TH AVENUE CIR E, BRADENTON, FL 34203-5327
(941) 567-9438
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PS55620
FL
Other
Enumeration date
09/14/2016
Last updated
09/14/2016
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