Individual
PAULINA TUYET PHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
7975 E US HIGHWAY 36, AVON, IN 46123-7975
(317) 272-5563
Mailing address
7975 E US HIGHWAY 36, AVON, IN 46123-7975
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26027317A
IN
Other
Enumeration date
08/09/2017
Last updated
03/17/2018
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