Individual provider · Type 1 NPI

Mia Phan

Pharmacist · Stone Mountain, GA

NPI number 1609489558 Active

Practice location

5320 Memorial Dr
Stone Mountain, GA 30083-3201

Specialties and licenses

Taxonomy	Code	License
Pharmacist Primary	183500000X	RPH030294 (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…

7 other providers at this address

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About NPI 1609489558

Mia Phan's National Provider Identifier is 1609489558, issued on Aug 28, 2020. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Stone Mountain, GA. The record was last updated on Aug 28, 2020.