Individual
TUAN PHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
2323 W EDISON ST, TULSA, OK 74127-5218
(918) 582-1375
Mailing address
13799 E 51ST ST APT 2201, TULSA, OK 74134-6723
(469) 233-7630
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
15779
OK
Other
Enumeration date
03/09/2018
Last updated
03/09/2018
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