Individual
MADISON PHUONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
8491 FARM RD, LAS VEGAS, NV 89131-8241
(702) 396-1713
Mailing address
6275 BOULDER HWY APT 2002, LAS VEGAS, NV 89122-7693
(951) 532-2158
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
23391
NV
Other
Enumeration date
02/16/2023
Last updated
02/16/2023
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