Individual
HUY DUY PHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
1970 W GRANT LINE RD, TRACY, CA 95376-8812
(209) 830-7388
Mailing address
657 ADAGIO WAY, SAN JOSE, CA 95111-2502
(408) 890-8008
Taxonomy
Speciality
Code
Description
License number
State
1835P1200X
Pharmacotherapy Pharmacist
Primary
76663
CA
Other
Enumeration date
08/23/2017
Last updated
08/23/2017
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