Individual
ANDY HOANG PHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
1917 STARFALL DR, WEST COVINA, CA 91790-4552
(626) 257-8403
Mailing address
1917 STARFALL DR, WEST COVINA, CA 91790-4552
(626) 257-8403
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
85090
CA
Other
Enumeration date
09/03/2021
Last updated
09/03/2021
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