Individual provider · Type 1 NPI

Diem Thuy Quynh Phan

Pharmacist · Tyrone, GA

NPI number 1194014381 Active

Practice location

525 Valleywood Rd
Tyrone, GA 30290-2449

Mailing address

1221 Hyacinth Ln
Peachtree City, GA 30269-3958

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Primary 183500000XRPH025000 (GA)

Pharmacist: An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage…

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About NPI 1194014381

Diem Thuy Quynh Phan's National Provider Identifier is 1194014381, issued on Mar 29, 2011. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Tyrone, GA. The record was last updated on Mar 29, 2011.