Individual
PHILLIP HUY DUC PHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6480 SKY POINTE DR, LAS VEGAS, NV 89131-4038
(702) 656-4791
Mailing address
6480 SKY POINTE DR, LAS VEGAS, NV 89131-4038
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
20587
NV
Other
Enumeration date
11/24/2020
Last updated
11/24/2020
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