Individual
DR. AMY PHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMACIST
Contact information
Practice address
6840 LINCOLN AVE, RIVERSIDE, CA 92506-4256
(951) 369-9941
Mailing address
6840 LINCOLN AVE, RIVERSIDE, CA 92506-4256
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
75136
CA
Other
Enumeration date
12/16/2019
Last updated
12/16/2019
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