Phi Thuong Phan, PHARM D Valid NPI
Individual provider · Pharmacist · Mansfield, TX
- NPI
- 1023614575
- Type
- Individual (Type 1)
- Primary specialty
- Pharmacist
- Specialty group
- Pharmacy Service Providers
- Taxonomy code
- 183500000X
- License number
- 54344 (TX)
- Sex
- Male
- Sole proprietor
- Yes
- Enumerated
- 2020-12-09
- Last updated
- 2020-12-09
Practice location
2200 Matlock Rd
Mansfield, TX 76063-3855
(817) 453-0267