Individual
ALAIN PHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
150 E LERDO HWY, SHAFTER, CA 93263-2702
(661) 746-4991
Mailing address
9923 IROQUOIS LN, BAKERSFIELD, CA 93312-5327
(714) 717-2046
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
77900
CA
Other
Enumeration date
12/08/2017
Last updated
12/08/2017
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