Individual
TU PHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
5630 W 4100 SOUTH, WEST VALLEY CITY, UT 84128
(801) 840-5155
Mailing address
3868 W EAGLE GLEN WAY, WEST VALLEY, UT 84120
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5331208-1701
UT
Other
Enumeration date
12/14/2011
Last updated
12/14/2011
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