Individual
KHANH PHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
1026 A AVE NE, CEDAR RAPIDS, IA 52402-5036
(319) 369-7335
Mailing address
1179 PORTSMITH CIR, MARION, IA 52302-6628
(319) 450-8583
Taxonomy
Speciality
Code
Description
License number
State
1835P1200X
Pharmacotherapy Pharmacist
Primary
18477
IA
Other
Enumeration date
05/06/2026
Last updated
05/06/2026
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