Individual provider · Type 1 NPI
Addison Phan, PharmD
Pharmacist · Gulfport, MS
Practice location
2433 25th Ave
Gulfport, MS 39501-4525
Mailing address
10122 Fournier Ave
Diberville, MS 39540-5458
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pharmacist Primary | 183500000X | E-13961 (MS) |
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…
2 other providers at this address
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- Peter Linh Tran IiPharmacist Gulfport, MS NPI 1043822950
- Kayla Marie Pate, RPHPharmacist Gulfport, MS NPI 1053146696
- Rebecca Branton BassPharmacist Gulfport, MS NPI 1053754713
- Lakeisha J. Jackson-Patton, PharmDPharmacist Gulfport, MS NPI 1124327044
About NPI 1396111407
Addison Phan, PharmD's National Provider Identifier is 1396111407, issued on Aug 12, 2015. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Gulfport, MS. The record was last updated on Aug 12, 2015.