Individual
QUI PHU ON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2405 PASS RD, BILOXI, MS 39531-2111
(228) 388-3458
Mailing address
9495 PRINGLE AVE, DIBERVILLE, MS 39540-5433
(228) 280-9346
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
E-102488
MS
Other
Enumeration date
07/21/2026
Last updated
07/21/2026
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