Individual
LUAN PHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
7151 CASS ST, OMAHA, NE 68132-2652
(402) 558-8551
Mailing address
7151 CASS ST, OMAHA, NE 68132-2652
(402) 558-8551
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
18370
NE
Other
Enumeration date
08/21/2024
Last updated
06/29/2025
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