Individual
PUI-YUE PHAN III
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10941 OLIVE BLVD, CREVE COEUR, MO 63141-7740
(314) 997-0555
(314) 997-6422
Mailing address
10941 OLIVE BLVD, CREVE COEUR, MO 63141-7740
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
2001030606
MO
Other
Enumeration date
09/20/2011
Last updated
09/20/2011
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