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Individual

CA PHAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHARM.D

Contact information

Practice address
3740 W HILLSBORO BLVD, DEERFIELD BEACH, FL 33442-9411
(954) 427-0675
(954) 427-0845
Mailing address
3740 W HILLSBORO BLVD, DEERFIELD BEACH, FL 33442-9411
(954) 427-0675
(954) 427-0845

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PS41618
FL

Other

Enumeration date
01/17/2013
Last updated
01/17/2013
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