Individual
CHUC PHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5070 HWY 70 W, MOREHEAD CITY, NC 28557-4502
(252) 222-0288
Mailing address
5070 HWY 70 W, MOREHEAD CITY, NC 28557-4502
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
20250
NC
Other
Enumeration date
11/04/2009
Last updated
11/04/2009
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