Individual
DR. CHRIS QUOC PHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMACIST
Contact information
Practice address
3100 MCCART AVE, FORT WORTH, TX 76110-3628
(817) 924-2666
Mailing address
3100 MCCART AVE, FORT WORTH, TX 76110-3628
(817) 924-2666
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
42903
TX
Other
Enumeration date
10/28/2011
Last updated
10/28/2011
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