Individual
DR. PHONG T LY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
6900 N PECOS RD, NORTH LAS VEGAS, NV 89086-4400
(626) 322-8444
Mailing address
3150 W TWAIN AVE APT 210, LAS VEGAS, NV 89103-1920
(626) 322-8444
Taxonomy
Speciality
Code
Description
License number
State
1835P1200X
Pharmacotherapy Pharmacist
Primary
RPH031572
GA
Other
Enumeration date
07/30/2021
Last updated
12/01/2021
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