Individual
PHUONG TA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPHT
Contact information
Practice address
1640 US HIGHWAY 19, HOLIDAY, FL 34691-5605
(727) 938-3731
(727) 943-8256
Mailing address
5048 MURIEL LN, NEW PORT RICHEY, FL 34653-4852
(727) 457-7961
(727) 943-8256
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
270101031160378
FL
Other
Enumeration date
03/21/2007
Last updated
07/09/2007
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