Individual
CHRISTINE PHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1900 N 20TH ST, PHILADELPHIA, PA 19121-2217
(215) 459-5913
Mailing address
1900 N 20TH ST, PHILADELPHIA, PA 19121-2217
(215) 459-5913
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP442278
PA
Other
Enumeration date
07/01/2015
Last updated
07/01/2015
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