Individual
HOANG ANH REBECCA PHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1160 JOHNSON FY RD NE UNIT 1475, ATLANTA, GA 30342-2356
(404) 916-2840
Mailing address
2600 DELK RD SE, MARIETTA, GA 30067-6202
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH032091
GA
Other
Enumeration date
07/10/2020
Last updated
07/10/2020
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