Individual
MICHAEL PHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4301 CHEF MENTEUR HWY, NEW ORLEANS, LA 70126-4919
(504) 434-6078
Mailing address
4301 CHEF MENTEUR HWY, NEW ORLEANS, LA 70126-4919
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
019924
LA
Other
Enumeration date
09/10/2012
Last updated
11/30/2023
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