Individual
DR. DIEM HONG PHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM D
Contact information
Practice address
10122 FOURNIER AVE, DIBERVILLE, MS 39540-5458
(228) 243-6767
Mailing address
10122 FOURNIER AVE, DIBERVILLE, MS 39540-5458
(228) 243-6767
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
E-100327
MS
Other
Enumeration date
08/25/2021
Last updated
08/25/2021
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