Individual
NGAN N PHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5100 S LABURNUM AVE, RICHMOND, VA 23231-4410
(804) 222-7827
Mailing address
9121 THORTON WAY, MECHANICSVILLE, VA 23116-4164
(804) 677-4342
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0202209248
VA
Other
Enumeration date
11/30/2020
Last updated
11/30/2020
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