Individual
SUZANNE PHONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM.D.
Contact information
Practice address
12605 E 16TH AVE, AURORA, CO 80045-2545
(626) 641-6619
Mailing address
12505 E. 16TH AVE, F757, AURORA, CO 80045
(720) 846-5342
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PHA0021497
CO
Other
Enumeration date
09/13/2016
Last updated
12/12/2016
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