Individual
KIMBERLY PHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
22101 MOROSS RD, DETROIT, MI 48236-2148
(313) 343-8787
Mailing address
27423 PARKVIEW BLVD APT 5209, WARREN, MI 48092-3630
(989) 980-5136
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302418948
MI
Other
Enumeration date
08/06/2026
Last updated
08/06/2026
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