Individual
PHRAEOPHAN HAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARM.D.
Contact information
Practice address
13652 CANTARA ST, PANORAMA CITY, CA 91402-5423
(818) 375-2417
Mailing address
4211 LAUREL CANYON BLVD APT 109, STUDIO CITY, CA 91604-4707
(818) 943-5938
Taxonomy
Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
67965
CA
Other
Enumeration date
09/03/2012
Last updated
05/25/2022
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