Individual
DR. ALEXANDER PHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
7301 ROGERS AVE, FORT SMITH, AR 72903-4100
(479) 314-6334
Mailing address
4301 S 89TH ST, FORT SMITH, AR 72903-6323
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PD15650
AR
Other
Enumeration date
12/13/2021
Last updated
12/13/2021
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