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Individual

DUSTIN L PHAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHARMD

Contact information

Practice address
2500 MERCED ST, SAN LEANDRO, CA 94577-4201
(510) 454-1000
Mailing address
17927 HEMMINGWAY ST, RESEDA, CA 91335-2108
(818) 668-7644

Taxonomy

Speciality
Code
Description
License number
State
1835P2201X
Ambulatory Care Pharmacist
Primary
RPH87519
CA

Other

Enumeration date
08/19/2024
Last updated
08/19/2024
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