Individual
KATIE PHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5700 BECKLEY RD, BATTLE CREEK, MI 49015-4189
(269) 979-0778
Mailing address
5700 BECKLEY RD, BATTLE CREEK, MI 49015-4189
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302039884
MI
Other
Enumeration date
11/08/2014
Last updated
05/24/2017
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