Individual
GIANG PHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
286 W WALKER WAY, COLUMBIA CITY, IN 46725-1336
(260) 244-3113
Mailing address
1925 VANCE AVE, FORT WAYNE, IN 46805-2307
(281) 919-7174
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26028951A
IN
Other
Enumeration date
12/06/2020
Last updated
12/06/2020
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