Individual
ANH PHUONG VAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
1919 W NORTH AVE, MILWAUKEE, WI 53205-1155
(414) 374-0000
Mailing address
2564 N 124TH ST APT 410, WAUWATOSA, WI 53226-1050
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
19063-40
WI
Other
Enumeration date
08/23/2017
Last updated
08/23/2017
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