Individual
AN TRUONG PHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
12254 BELLFLOWER BLVD, DOWNEY, CA 90242-2804
(562) 319-7473
Mailing address
1858 W CHANTICLEER RD, ANAHEIM, CA 92804-5574
(714) 328-2869
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
56069
CA
Other
Enumeration date
07/02/2019
Last updated
07/02/2019
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