Individual
AMY PHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
103 S ORANGE AVE, GREEN COVE SPRINGS, FL 32043-4127
(904) 529-9156
(904) 529-9108
Mailing address
103 S ORANGE AVE, GREEN COVE SPRINGS, FL 32043-4127
(904) 529-9156
(904) 529-9108
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PS42207
FL
Other
Enumeration date
08/31/2011
Last updated
08/31/2011
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